| Ipnam Health, Llc | |
|
8609 2nd Ave Ste 404b Silver Spring MD 20910-3374 | |
| (240) 653-9343 | |
| Not Available |
| Full Name | Ipnam Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8609 2nd Ave Ste 404b, Silver Spring, Maryland |
| Authorized Official Name and Position | Samantha A Miller (OWNER) |
| Authorized Official Contact | 2406539343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipnam Health, Llc 711 W 40th Street Ste 153, #150 Baltimore MD 21211-2143 Ph: () - | Ipnam Health, Llc 8609 2nd Ave Ste 404b Silver Spring MD 20910-3374 Ph: (240) 653-9343 |
| NPI Number | 1326826306 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 4284083510 |
|---|---|
| Medicare Enrollment ID | O20231212004122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326826306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Samantha Adrienne Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619103835 PECOS PAC ID: 2961555891 Enrollment ID: I20231212004131 |
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