Provider Demographics
NPI:1992743611
Name:LADAS, JOHN (MD PHD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:LADAS
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:2101 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-681-6600
Mailing Address - Fax:301-681-3799
Practice Address - Street 1:2101 MEDICAL PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-681-6600
Practice Address - Fax:301-681-3799
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2023-11-08
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Provider Licenses
StateLicense IDTaxonomies
MDD55937207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD133505700Medicaid
MDH28520Medicare UPIN
MD133505700Medicaid