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3000 Mccomas Ave Kensington MD 20895-2316 | |
(301) 933-0060 | |
(301) 946-9709 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3000 Mccomas Ave, Kensington, Maryland |
Authorized Official Name and Position | Nurul A Chowdhury (MEMBER) |
Authorized Official Contact | 3015302737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10012 Edward Ave Bethesda MD 20814-2114 Ph: (301) 530-2737 | 3000 Mccomas Ave Kensington MD 20895-2316 Ph: (301) 933-0060 |
NPI Number | 1134662877 |
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Provider Enumeration Date | 11/29/2016 |
Last Update Date | 12/10/2024 |
Medicare PECOS PAC ID | 1355670670 |
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Medicare Enrollment ID | O20190912000990 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134662877 | NPI | - | NPPES |
907776600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Nurul A Chowdhury |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093738635 PECOS PAC ID: 6305877333 Enrollment ID: I20130116000460 |
Provider Name | Rhoda Sia Ballah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457819526 PECOS PAC ID: 0143556696 Enrollment ID: I20190723000021 |
Provider Name | Rica Banfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194281451 PECOS PAC ID: 2961898689 Enrollment ID: I20220406001011 |
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Professional Services Of Holy Cross Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 Farragut Ave, Kensington, MD 20895 Phone: 301-949-4242 Fax: 301-949-8041 | |
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