Michael Jonathan Drakos, L.AC.
Individual provider Active NPI Acupuncturist · Waldorf, MD
NPI 1366717837 · NPPES record last updated Mar 17, 2012
Key facts
- NPI
- 1366717837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- U01971 (MD)
- Practice address
- 601 Post Office Rd
Ste 2D
Waldorf, MD 20602-1912 - Phone
- (301) 848-0461
- Fax
- (301) 885-0922
- NPI assigned
- Mar 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U01971 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coquus | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01971 | MD | Yes |
Addresses
Primary practice location
601 Post Office Rd
Ste 2D
Waldorf, MD 20602-1912
Mailing address
5182 Downwest Ride
Columbia, MD 21044-1505
Phone (410) 707-0661
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.