MEDICARE: DR. SALWA ELSAMANOUDI M.D.

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	208000000X	Pediatrics Physician	D0032499	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700250	OTHER		NCPPO
2	1201796	OTHER		UNITED HEALTHCARE MCO
3	1981628	OTHER		UNITED HEALTHCARE
4	9973	OTHER		KAISER
5	281931	OTHER		MAMSI
6	5808053	OTHER		AETNA PPO
7	010266	OTHER	MD	JOHNS HOPKINS HEALTHCARE
8	3628495002	OTHER		CIGNA
9	2328093	OTHER		AETNA HMO
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	0024	OTHER	MD	CAREFIRST DC
12	113382	OTHER		COVENTRY
13	35168709	OTHER	MD	CAREFIRST MARYLAND

General Provider Information

NPI Number	:	1114950631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALWA ELSAMANOUDI M.D.

Provider Business Mailing Address
First Line	:	14701 HARVEST LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-5642
Country	:	US
Telephone Number	:	301-384-9521
Fax Number	:

Provider Business Practice Location Address
First Line	:	2629 RIVA RD
Second Line	:	SUITE 112
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7428
Country	:	US
Telephone Number	:	410-266-1000
Fax Number	:	410-573-4028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. SALWA ELSAMANOUDI M.D.” Practice Location

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