Dr. Eden Healthcare Services Llc | |
8115 Fenton St Ste 203 Silver Spring MD 20910-6701 | |
(301) 318-1859 | |
Not Available |
Full Name | Dr. Eden Healthcare Services Llc |
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Speciality | Nurse Practitioner |
Location | 8115 Fenton St Ste 203, Silver Spring, Maryland |
Authorized Official Name and Position | Eden Muluneh Taye (CEO) |
Authorized Official Contact | 3013181859 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Eden Healthcare Services Llc 9002 Pennsylvania Ave Silver Spring MD 20910-1914 Ph: (301) 318-1859 | Dr. Eden Healthcare Services Llc 8115 Fenton St Ste 203 Silver Spring MD 20910-6701 Ph: (301) 318-1859 |
NPI Number | 1205527439 |
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Provider Enumeration Date | 05/18/2023 |
Last Update Date | 11/29/2023 |
Medicare PECOS PAC ID | 2264881697 |
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Medicare Enrollment ID | O20240109000477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205527439 | NPI | - | NPPES |
Provider Name | Eden Muluneh Taye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134820020 PECOS PAC ID: 3173972502 Enrollment ID: I20240129000636 |
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