Economides, Aglae
Economides, Aglae is an individual health care provider with primary practice located at 6000 Executive Blvd Suite 625, Rockville MD 20852-3803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Economides, Aglae can be contacted via phone (240) 314-7080.Contact Information
Primary practice address
6000 Executive Blvd Suite 625
Rockville MD 20852-3803
Phone: (240) 314-7080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10794 | Tennessee |
Profile Details
| NPI number | 1023002235 |
|---|---|
| LBN Legal business name | Economides, Aglae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Nov 17th, 2011 - about 15 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 | 1023002235 | NPPES |
| Tennessee | MEDICAID | 3194209 | |
| Tennessee | MEDICAID | 376751500 |
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