| A Step Ahead Preventive And Holistic Wellness Center Llc | |
|
4500 Forbes Blvd # 200-w12 Lanham MD 20706-6312 | |
| (301) 503-1519 | |
| Not Available |
| Full Name | A Step Ahead Preventive And Holistic Wellness Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4500 Forbes Blvd # 200-w12, Lanham, Maryland |
| Authorized Official Name and Position | Priyanka Malhotra (BILLAR) |
| Authorized Official Contact | 3013771836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Step Ahead Preventive And Holistic Wellness Center Llc 14933 Nashua Ln Bowie MD 20716-1005 Ph: (301) 503-1519 | A Step Ahead Preventive And Holistic Wellness Center Llc 4500 Forbes Blvd # 200-w12 Lanham MD 20706-6312 Ph: (301) 503-1519 |
| NPI Number | 1386135333 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 05/25/2018 |
| Medicare PECOS PAC ID | 0840543617 |
|---|---|
| Medicare Enrollment ID | O20181024001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386135333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 03977 (Maryland) | Primary |
| Provider Name | Shailaja Kurli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588835680 PECOS PAC ID: 8426108705 Enrollment ID: I20090608000361 |
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