MEDICARE: SEVUGAN MD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1023613379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVUGAN MD, LLC

Provider Business Mailing Address
First Line	:	11306 CORAL GABLES DR
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878-3803
Country	:	US
Telephone Number	:	267-664-0638
Fax Number	:

Provider Business Practice Location Address
First Line	:	14333 LAUREL BOWIE RD STE 202
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-1179
Country	:	US
Telephone Number	:	240-554-5112
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	ARUNACHALAM SEVUGAN
Credential	:	MD
Telephone Number	:	240-554-5112

Provider Enumeration Date	:	12/03/2020
Last Update Date	:	03/02/2026

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