| Dr. Jalli Md Pc | |
|
2401 Research Blvd Suite 330 Rockville MD 20850-3215 | |
| (301) 686-8554 | |
| (301) 686-8602 |
| Full Name | Dr. Jalli Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 Research Blvd, Rockville, Maryland |
| Authorized Official Name and Position | Sireesha Jalli (OWNER) |
| Authorized Official Contact | 3016868554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jalli Md Pc 2401 Research Blvd Suite 330 Rockville MD 20850-3215 Ph: (301) 686-8554 | Dr. Jalli Md Pc 2401 Research Blvd Suite 330 Rockville MD 20850-3215 Ph: (301) 686-8554 |
| NPI Number | 1598121923 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 02/11/2016 |
| Medicare PECOS PAC ID | 5991002123 |
|---|---|
| Medicare Enrollment ID | O20160401000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598121923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mythily Vancha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548292022 PECOS PAC ID: 6608875927 Enrollment ID: I20061214000548 |
| Provider Name | Sireesha Jalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942476783 PECOS PAC ID: 8123188711 Enrollment ID: I20081201000302 |
| Provider Name | Ntoge Penda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427645209 PECOS PAC ID: 7517322530 Enrollment ID: I20230426003158 |
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