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15920 Shady Grove Rd, Gaithersburg, MD 20877 | |
(301) 637-3181 | |
(301) 637-5242 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 15920 Shady Grove Rd, Gaithersburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255719787 | NPI | - | NPPES |
Provider Name | Selvin Gnanakkan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104980846 PECOS PAC ID: 1456317510 Enrollment ID: I20140308000215 |
Provider Name | Elena B Mier-trotter |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891072633 PECOS PAC ID: 6507097193 Enrollment ID: I20140325000338 |
Provider Name | Hetal Rana |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497865810 PECOS PAC ID: 5890710412 Enrollment ID: I20160718002385 |
Mailing Address | Practice Location Address |
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15920 Shady Grove Rd, Gaithersburg, MD 20877 Ph: (301) 637-3181 | 15920 Shady Grove Rd, Gaithersburg, MD 20877 Ph: (301) 637-3181 |