Gaithersburg Mental Health Associates, Llc | |
915 Russell Ave A Gaithersburg MD 20879-3202 | |
(301) 948-1769 | |
(301) 990-7111 |
Full Name | Gaithersburg Mental Health Associates, Llc |
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Speciality | Psychiatry & Neurology |
Location | 915 Russell Ave, Gaithersburg, Maryland |
Authorized Official Name and Position | Sunny Singh (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 3019481769 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gaithersburg Mental Health Associates, Llc 915 Russell Ave A Gaithersburg MD 20879-3202 Ph: (301) 948-1769 | Gaithersburg Mental Health Associates, Llc 915 Russell Ave A Gaithersburg MD 20879-3202 Ph: (301) 948-1769 |
NPI Number | 1700112083 |
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Provider Enumeration Date | 10/21/2009 |
Last Update Date | 12/17/2010 |
Medicare PECOS PAC ID | 7618920240 |
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Medicare Enrollment ID | O20050223000852 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700112083 | NPI | - | NPPES |
146691700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
Provider Name | Uma G Devi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598863268 PECOS PAC ID: 2163475799 Enrollment ID: I20050223000865 |
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