| Bright Horizons Psychiatry Llc | |
|
6000 Executive Blvd Ste 101 North Bethesda MD 20852-3816 | |
| (240) 778-7404 | |
| Not Available |
| Full Name | Bright Horizons Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6000 Executive Blvd Ste 101, North Bethesda, Maryland |
| Authorized Official Name and Position | Amir Etesam (OWNER) |
| Authorized Official Contact | 2405991001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Horizons Psychiatry Llc 6000 Executive Blvd Ste 101 North Bethesda MD 20852-3816 Ph: (240) 778-7404 | Bright Horizons Psychiatry Llc 6000 Executive Blvd Ste 101 North Bethesda MD 20852-3816 Ph: (240) 778-7404 |
| NPI Number | 1922709146 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 6608235213 |
|---|---|
| Medicare Enrollment ID | O20230629002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922709146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shelly Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211518 PECOS PAC ID: 8527493865 Enrollment ID: I20200115001647 |
| Provider Name | Amir Hossein Etesam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588144588 PECOS PAC ID: 4587999057 Enrollment ID: I20230629002667 |
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