First Care Medical Services Corporation | |
1310 Southern Ave Se Washington DC 20032-4623 | |
(202) 574-6000 | |
Not Available |
Full Name | First Care Medical Services Corporation |
---|---|
Speciality | Internal Medicine |
Location | 1310 Southern Ave Se, Washington, District Of Columbia |
Authorized Official Name and Position | Russom B Ghebrai (PRESIDENT) |
Authorized Official Contact | 3015026912 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
First Care Medical Services Corporation 4150 Stevenson St Apt. 303 Fairfax VA 22030-5774 Ph: (301) 502-6912 | First Care Medical Services Corporation 1310 Southern Ave Se Washington DC 20032-4623 Ph: (202) 574-6000 |
NPI Number | 1740735794 |
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Provider Enumeration Date | 08/19/2016 |
Last Update Date | 03/06/2017 |
Medicare PECOS PAC ID | 5799069910 |
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Medicare Enrollment ID | O20170307000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740735794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Russom B Ghebrai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598841819 PECOS PAC ID: 3274599527 Enrollment ID: I20070307000604 |
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