Kilavos, Mary Frekko
Kilavos, Mary Frekko is an individual health care provider with primary practice located at 818 West Diamond Avenue Ste 130, Gaithersburg MD 20878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kilavos, Mary Frekko can be contacted via phone (301) 948-8780.Contact Information
Primary practice address
818 West Diamond Avenue Ste 130
Gaithersburg MD 20878
Phone: (301) 948-8780
Fax: (301) 519-9093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0062800 | Maryland |
Profile Details
| NPI number | 1609841188 |
|---|---|
| LBN Legal business name | Kilavos, Mary Frekko |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jul 31st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609841188 | NPPES |
| Maryland | Other | 492066 | MEDICARE |
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