MEDICARE: DR. ELWOOD SAMUEL HOLLAND 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	207Q00000X	Family Medicine Physician	D20989	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080187474	OTHER	DC	RAILROAD MEDICARE PROVIDE
5	080187474	OTHER	DC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7026311	OTHER	MD	MAMSI LIFE & HEALRH INSURANCE COMPANY
3	2107922	OTHER		AETNA INS.
4	0100881	OTHER	MD	UNITED HEALTHCARE OF THE MID-ATLANTIC,INC.
6	0795	OTHER	DC	BCBSNCA
7	322601	OTHER	MD	OPTIMUM CHOICE, INC.
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	AS77789810001	OTHER	MD	CIGNA HEALTHCARE
10	4296	OTHER	MD	BCBS (CAREFIRST)

General Provider Information

NPI Number	:	1821136466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELWOOD SAMUEL HOLLAND M.D.

Provider Business Mailing Address
First Line	:	6005 LANDOVER RD
Second Line	:	STE. 3
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1145
Country	:	US
Telephone Number	:	301-341-1177
Fax Number	:	301-341-5659

Provider Business Practice Location Address
First Line	:	6005 LANDOVER RD
Second Line	:	STE. 3
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1145
Country	:	US
Telephone Number	:	301-341-1177
Fax Number	:	301-341-1244

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

Provider Enumeration Date	:	02/04/2007
Last Update Date	:	03/07/2023

Similar Medicare Providers

1457496614 — ELWOOD S. HOLLAND, M.D., P.A.
Practice Location Address:

6005 LANDOVER RD , STE. 3
CHEVERLY, MD
20785-1145

Practice Phone: 301-341-1177
Practice Fax: 301-341-5659

1831226356 — ABDUL G. CHAUDRY
Practice Location Address:

6005 LANDOVER RD , SUITE 5
CHEVERLY, MD
20785-1145

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1740514967 — CHEVERLY WOMEN HEALTHCARE INC.
Practice Location Address:

6005 LANDOVER RD , SUITE 5
CHEVERLY, MD
20785-1145

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1750680021 — DR. TIFFANY ALTAMARIA MAPP D.O.
Practice Location Address:

6005 LANDOVER RD STE 5
CHEVERLY, MD
20785-1145

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Practice Fax: 443-740-9236

1912371709 — DIAMOND INTEGRATED COMPANY
Practice Location Address:

6005 LANDOVER RD , 104B
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20785-1145

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1225644701 — MIRACLE MEDICAL LLC
Practice Location Address:

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