| Grace Medical Clinic Llc | |
|
5550 Friendship Blvd Ste 360 Chevy Chase MD 20815-7256 | |
| (240) 235-5202 | |
| (240) 341-1290 |
| Full Name | Grace Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5550 Friendship Blvd Ste 360, Chevy Chase, Maryland |
| Authorized Official Name and Position | Hossien Talebian (BILLING MGR) |
| Authorized Official Contact | 7039554923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Clinic Llc 5550 Friendship Blvd Ste 360 Chevy Chase MD 20815-7256 Ph: (240) 235-5202 | Grace Medical Clinic Llc 5550 Friendship Blvd Ste 360 Chevy Chase MD 20815-7256 Ph: (240) 235-5202 |
| NPI Number | 1912538927 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912538927 | NPI | - | NPPES |
| D71554 | Other | MD | PHYSICIAN LICENSE |
| M91155 | Other | MD | CDS REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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