Poydras, Ursula Denise

Poydras, Ursula Denise is an sole proprietor health care provider with primary practice located at 9821 Greenbelt Rd Suite 206, Lanham MD 20706-2269. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Adolescent Medicine. Other Service Providers / Specialist is her primary health care specialty. Poydras, Ursula Denise can be contacted via phone (301) 552-5862.

Contact Information

Primary practice address
9821 Greenbelt Rd Suite 206 Lanham MD 20706-2269
Fax: (301) 552-5864
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D42448 Maryland
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 00D42448 Maryland

Profile Details

NPI number 1316030281
LBN Legal business name Poydras, Ursula Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Dec 18th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316030281 NPPES
Maryland Other 562627117 TAX ID
Maryland MEDICAID 757841500 TAX ID

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