MEDICARE: DR. SHELDON LESLIE MARGULIES II 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	174400000X	Specialist	D0028087	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	222540600	OTHER	DC	DEPT. OF LABOR
2	543850	OTHER	MD	AETNA
3	036857800	OTHER	DC	MEDICAL ASSISTANCE
4	5761 SL	OTHER	MD	BCBS MD
5	6605	OTHER	DC	CAREFIRST BCBS
6	0500539	OTHER	MD	UNITED HEALTHCARE
7	277989	OTHER	MD	ALLIANCE
8	06788	OTHER	MD	AMERIGROUP
9	277989	OTHER	MD	MAMSI
10	000793945	OTHER	PA	BLUE CROSS BLUE SHEILD
11	25627	OTHER	MD	IWIF
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	53011	OTHER	MD	FIRST HEALTH
14	118468	OTHER	MD	TRIGON BCBS
15	6374326-0022	OTHER	MD	CIGNA PPO

General Provider Information

NPI Number	:	1659325868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELDON LESLIE MARGULIES II M.D.

Provider Business Mailing Address
First Line	:	705 KERSEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3054
Country	:	US
Telephone Number	:	301-754-0888
Fax Number	:	301-593-2183

Provider Business Practice Location Address
First Line	:	705 KERSEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3054
Country	:	US
Telephone Number	:	301-754-0888
Fax Number	:	301-593-2183

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/08/2007

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