Khludenev, Konstantin A
Khludenev, Konstantin A is an individual health care provider with primary practice located at 15825 Shady Grove Rd Suite 140, Rockville MD 20850-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khludenev, Konstantin A can be contacted via phone (301) 869-9776.Contact Information
Primary practice address
15825 Shady Grove Rd Suite 140
Rockville MD 20850-4008
Phone: (301) 869-9776
Fax: (301) 216-2592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0059013 | Maryland |
Profile Details
| NPI number | 1538154075 |
|---|---|
| LBN Legal business name | Khludenev, Konstantin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 13th, 2016 - about 10 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 | 1538154075 | NPPES |
| Maryland | MEDICAID | 400995900 |
Popular Providers
-
Mittal, Shama Ravi
14816 Physicians Ln Suite 152, Rockville MD 20850-3944 -
Rost, Deborah B
15225 Shady Grove Rd Suite 102, Rockville MD 20850-3254 -
Plotsky, Jonathan Sanders
15225 Shady Grove Rd Ste 102, Rockville MD 20850-3254 -
Berger, Ira Lawrence
1201 Seven Locks Rd Ste 111, Rockville MD 20854-2957 -
Mistry, Alicia T
9901 Medical Center Dr , Rockville MD 20850-3357 -
Akhlaghi, Mehrdad
9901 Medical Center Dr , Rockville MD 20850-3357 -
Chow, Mo-Ping
2401 Research Blvd Ste 370 , Rockville MD 20850-3269 -
Braunstein, Steven A
805 Reserve Champion Dr Apt 305, Rockville MD 20850-6645