| Family Medical Center Pa | |
|
3416 Olandwood Ct 207 Olney MD 20832-1372 | |
| (301) 774-1231 | |
| Not Available |
| Full Name | Family Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3416 Olandwood Ct, Olney, Maryland |
| Authorized Official Name and Position | Johny Joseph Edappully (PHYSICIAN) |
| Authorized Official Contact | 3017748355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Pa 3416 Olandwood Ct 207 Olney MD 20832 Ph: (301) 774-1231 | Family Medical Center Pa 3416 Olandwood Ct 207 Olney MD 20832-1372 Ph: (301) 774-1231 |
| NPI Number | 1710161534 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 1153496096 |
|---|---|
| Medicare Enrollment ID | O20080812000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710161534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maryland) | Primary |
| Provider Name | Johny Edappully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053489336 PECOS PAC ID: 8628142569 Enrollment ID: I20080811000411 |
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