David A Charles Md Pc | |
15005 Shady Grove Rd Ste 410 Rockville MD 20850 | |
(301) 738-8846 | |
(301) 762-8625 |
Full Name | David A Charles Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 15005 Shady Grove Rd, Rockville, Maryland |
Authorized Official Name and Position | David Anthony Charles (PRESIDENT OWNER) |
Authorized Official Contact | 3017388846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David A Charles Md Pc 15005 Shady Grove Rd Ste 410 Rockville MD 20850 Ph: (301) 738-8846 | David A Charles Md Pc 15005 Shady Grove Rd Ste 410 Rockville MD 20850 Ph: (301) 738-8846 |
NPI Number | 1841370574 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 11/15/2010 |
Medicare PECOS PAC ID | 1850537531 |
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Medicare Enrollment ID | O20130425000153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841370574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0054843 (Maryland) | Primary |
Provider Name | David A Charles |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487835179 PECOS PAC ID: 3971574831 Enrollment ID: I20040804000291 |
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