| Advanced Endocrinology, Llc | |
|
15200 Shady Grove Rd Ste 202 Rockville MD 20850-3218 | |
| (301) 297-3330 | |
| Not Available |
| Full Name | Advanced Endocrinology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15200 Shady Grove Rd Ste 202, Rockville, Maryland |
| Authorized Official Name and Position | Anurag Gupta (MANAGING MEMBER) |
| Authorized Official Contact | 3012973330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endocrinology, Llc 16506 Harbour Town Dr Ashton MD 20861-4092 Ph: (240) 535-6967 | Advanced Endocrinology, Llc 15200 Shady Grove Rd Ste 202 Rockville MD 20850-3218 Ph: (301) 297-3330 |
| NPI Number | 1912776592 |
|---|---|
| Provider Enumeration Date | 12/25/2023 |
| Last Update Date | 01/27/2024 |
| Medicare PECOS PAC ID | 6901240035 |
|---|---|
| Medicare Enrollment ID | O20240216002639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912776592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Anurag Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104828441 PECOS PAC ID: 3678557725 Enrollment ID: I20040616000190 |
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