| Lanham Neuro Science Center Llc | |
|
9801 Greenbelt Rd Suite 101 Lanham MD 20706-2273 | |
| (301) 552-6666 | |
| (301) 552-6216 |
| Full Name | Lanham Neuro Science Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9801 Greenbelt Rd, Lanham, Maryland |
| Authorized Official Name and Position | Shimellis Alemayehu (OWNER) |
| Authorized Official Contact | 3015526666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanham Neuro Science Center Llc 9801 Greenbelt Rd Suite 101 Lanham MD 20706-2273 Ph: (301) 552-6666 | Lanham Neuro Science Center Llc 9801 Greenbelt Rd Suite 101 Lanham MD 20706-2273 Ph: (301) 552-6666 |
| NPI Number | 1336383835 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 04/28/2009 |
| Medicare PECOS PAC ID | 9032256896 |
|---|---|
| Medicare Enrollment ID | O20091027000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336383835 | NPI | - | NPPES |
| Provider Name | Shimellis Alemayehu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790883288 PECOS PAC ID: 7719995208 Enrollment ID: I20060324000250 |
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