| Capital Stroke Neurology Inc | |
|
9117 Falls Chapel Way Potomac MD 20854-2453 | |
| (434) 607-2705 | |
| (443) 964-5954 |
| Full Name | Capital Stroke Neurology Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9117 Falls Chapel Way, Potomac, Maryland |
| Authorized Official Name and Position | Patricia H King (OFFICE MANAGER) |
| Authorized Official Contact | 4346072705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Stroke Neurology Inc 9117 Falls Chapel Way Potomac MD 20854-2453 Ph: (434) 607-2705 | Capital Stroke Neurology Inc 9117 Falls Chapel Way Potomac MD 20854-2453 Ph: (434) 607-2705 |
| NPI Number | 1861956930 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 5496095499 |
|---|---|
| Medicare Enrollment ID | O20190328001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861956930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ermias Mekonnen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346436276 PECOS PAC ID: 2567610306 Enrollment ID: I20160620001903 |
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