| Advanced Gastroenterology Associates Llc | |
|
10846 Antigua Ter #203 North Bethesda MD 20852-5532 | |
| (301) 770-5711 | |
| Not Available |
| Full Name | Advanced Gastroenterology Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10846 Antigua Ter, North Bethesda, Maryland |
| Authorized Official Name and Position | Homayoon Mahjoob (SOLE MBR) |
| Authorized Official Contact | 3017705711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology Associates Llc 10846 Antigua Ter #203 North Bethesda MD 20852-5532 Ph: (301) 770-5711 | Advanced Gastroenterology Associates Llc 10846 Antigua Ter #203 North Bethesda MD 20852-5532 Ph: (301) 770-5711 |
| NPI Number | 1770810038 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Medicare PECOS PAC ID | 9537204235 |
|---|---|
| Medicare Enrollment ID | O20100305000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770810038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0058186 (Maryland) | Primary |
| Provider Name | Homayoon Mahjoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740494178 PECOS PAC ID: 6103919741 Enrollment ID: I20070914000510 |
Genesis Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6161 Executive Blvd, North Bethesda, MD 20852 Phone: 301-871-3400 Fax: 301-871-3441 | |
North Bethesda Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Rockville Pike Ste 1015, North Bethesda, MD 20852 Phone: 301-941-4414 Fax: 301-941-4404 |