Healthcare Provider Details

I. General information

NPI: 1114999497
Provider Name (Legal Business Name): MARGARITA E. KULLICK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARITA E. NAZDIN MD

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 ROCKVILLE PIKE APT 1613
ROCKVILLE MD
20852-6365
US

IV. Provider business mailing address

1001 ROCKVILLE PIKE APT 1613
ROCKVILLE MD
20852-6365
US

V. Phone/Fax

Practice location:
  • Phone: 301-675-7258
  • Fax:
Mailing address:
  • Phone: 301-675-7258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD13853
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD24665
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD13853
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: