| Rockville Psychiatric Service Llc | |
|
9035 Shady Grove Ct Gaithersburg MD 20877-1301 | |
| (301) 742-8099 | |
| (301) 281-4002 |
| Full Name | Rockville Psychiatric Service Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9035 Shady Grove Ct, Gaithersburg, Maryland |
| Authorized Official Name and Position | Priyanka Malhotra (OFFICE MANAGER) |
| Authorized Official Contact | 3013771836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockville Psychiatric Service Llc 9010 Wang Sole Mbr Rockville MD 20850 Ph: (301) 742-8099 | Rockville Psychiatric Service Llc 9035 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (301) 742-8099 |
| NPI Number | 1205330842 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2018 |
| Medicare PECOS PAC ID | 5092070458 |
|---|---|
| Medicare Enrollment ID | O20180606000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205330842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hang Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609159482 PECOS PAC ID: 1850691056 Enrollment ID: I20151119001334 |
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