| Elite Family Care And Clinic | |
|
14301 Layhill Rd Ste 101 Silver Spring MD 20906-1937 | |
| (301) 323-8520 | |
| Not Available |
| Full Name | Elite Family Care And Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 14301 Layhill Rd Ste 101, Silver Spring, Maryland |
| Authorized Official Name and Position | Henry Tama (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7038682839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Family Care And Clinic 14301 Layhill Rd Ste 101 Silver Spring MD 20906-1937 Ph: (301) 323-8520 | Elite Family Care And Clinic 14301 Layhill Rd Ste 101 Silver Spring MD 20906-1937 Ph: (301) 323-8520 |
| NPI Number | 1932760899 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 4486086105 |
|---|---|
| Medicare Enrollment ID | O20191119001942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932760899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry Tama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150262 PECOS PAC ID: 5496099160 Enrollment ID: I20191119002044 |
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