Omhc | |
19707 Executive Park Cir Germantown MD 20874-2639 | |
(301) 250-9965 | |
(240) 306-1104 |
Full Name | Omhc |
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Speciality | Clinic/Center |
Location | 19707 Executive Park Cir, Germantown, Maryland |
Authorized Official Name and Position | Sonali G Sharma (CEO) |
Authorized Official Contact | 2407317344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omhc 19707 Executive Park Cir Germantown MD 20874-2639 Ph: (240) 731-7344 | Omhc 19707 Executive Park Cir Germantown MD 20874-2639 Ph: (301) 250-9965 |
NPI Number | 1982126694 |
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Provider Enumeration Date | 07/13/2017 |
Last Update Date | 07/21/2022 |
Certification Date | 10/12/2021 |
Medicare PECOS PAC ID | 1850755588 |
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Medicare Enrollment ID | O20240124001430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982126694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Rossana D Hilario |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891270187 PECOS PAC ID: 8628474020 Enrollment ID: I20210910000616 |
Provider Name | Renata Pavani |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689136566 PECOS PAC ID: 2062803257 Enrollment ID: I20211223000195 |
Provider Name | Nicole Lipka |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881223634 PECOS PAC ID: 5496102659 Enrollment ID: I20240124001998 |
Provider Name | Dana Hussein |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912663899 PECOS PAC ID: 0547606709 Enrollment ID: I20240311000025 |
Provider Name | Abigail Raines |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467179564 PECOS PAC ID: 9335585496 Enrollment ID: I20240311004122 |
Provider Name | Brent Fischbein |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083388540 PECOS PAC ID: 8224474382 Enrollment ID: I20240312000008 |
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