| Complete Family Care Pc | |
|
7610 Carroll Ave # 260 Takoma Park MD 20912 | |
| (301) 891-9770 | |
| (301) 891-1620 |
| Full Name | Complete Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7610 Carroll Ave, Takoma Park, Maryland |
| Authorized Official Name and Position | Suresh K Khetan (PRESIDENT) |
| Authorized Official Contact | 3018919770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Care Pc Po Box 7398 Langley Park MD 20787 Ph: (301) 891-9770 | Complete Family Care Pc 7610 Carroll Ave # 260 Takoma Park MD 20912 Ph: (301) 891-9770 |
| NPI Number | 1760560031 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193787380 |
|---|---|
| Medicare Enrollment ID | O20041030000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760560031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D55403 (Maryland) | Primary |
| Provider Name | Suresh K Khetan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265462139 PECOS PAC ID: 4183686371 Enrollment ID: I20050914000747 |
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