Provider Demographics
NPI:1659325868
Name:MARGULIES, SHELDON LESLIE II (MD)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:LESLIE
Last Name:MARGULIES
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 KERSEY RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3054
Mailing Address - Country:US
Mailing Address - Phone:301-754-0888
Mailing Address - Fax:301-593-2183
Practice Address - Street 1:705 KERSEY RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3054
Practice Address - Country:US
Practice Address - Phone:301-754-0888
Practice Address - Fax:301-593-2183
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028087174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC222540600OtherDEPT. OF LABOR
MD543850OtherAETNA
DC036857800OtherMEDICAL ASSISTANCE
MD5761 SLOtherBCBS MD
DC6605OtherCAREFIRST BCBS
MD0500539OtherUNITED HEALTHCARE
MD277989OtherALLIANCE
MD06788OtherAMERIGROUP
MD277989OtherMAMSI
PA000793945OtherBLUE CROSS BLUE SHEILD
MD25627OtherIWIF
MD339221001Medicaid
MD53011OtherFIRST HEALTH
MD118468OtherTRIGON BCBS
MD6374326-0022OtherCIGNA PPO
DC036857800OtherMEDICAL ASSISTANCE
MD53011OtherFIRST HEALTH