Global Vitality Clinic | |
8115 Fenton St Ste 209 Silver Spring MD 20910-6701 | |
(240) 462-8884 | |
Not Available |
Full Name | Global Vitality Clinic |
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Speciality | Clinic/Center |
Location | 8115 Fenton St Ste 209, Silver Spring, Maryland |
Authorized Official Name and Position | Nigussie Geleta (OWNER) |
Authorized Official Contact | 2404628884 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Global Vitality Clinic 8115 Fenton St Ste 209 Silver Spring MD 20910-6701 Ph: (240) 462-8884 | Global Vitality Clinic 8115 Fenton St Ste 209 Silver Spring MD 20910-6701 Ph: (240) 462-8884 |
NPI Number | 1245012400 |
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Provider Enumeration Date | 10/20/2023 |
Last Update Date | 10/20/2023 |
Medicare PECOS PAC ID | 7810345873 |
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Medicare Enrollment ID | O20231130003718 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245012400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Nigussie Alemu Geleta |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1194088302 PECOS PAC ID: 4385959725 Enrollment ID: I20160520001405 |
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