Provider Demographics
NPI:1790842540
Name:VEMURY, MERLYN K (MD)
Entity Type:Individual
Prefix:DR
First Name:MERLYN
Middle Name:K
Last Name:VEMURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9801 GEORGIA AVE
Mailing Address - Street 2:SUITE 227
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5276
Mailing Address - Country:US
Mailing Address - Phone:301-593-7792
Mailing Address - Fax:301-593-1900
Practice Address - Street 1:9801 GEORGIA AVE
Practice Address - Street 2:SUITE 227
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-593-7792
Practice Address - Fax:301-593-1900
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD35791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC553748Medicare ID - Type Unspecified
MDE63777Medicare UPIN