Greenway Family Medical Practice, Llc | |
7525 Greenway Center Dr 105 Greenbelt MD 20770-3509 | |
(301) 313-0425 | |
(301) 313-0435 |
Full Name | Greenway Family Medical Practice, Llc |
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Speciality | Family Medicine |
Location | 7525 Greenway Center Dr, Greenbelt, Maryland |
Authorized Official Name and Position | Mariam Ashiq (ADMINISTRATOR) |
Authorized Official Contact | 3013130425 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greenway Family Medical Practice, Llc 7525 Greenway Center Dr 105 Greenbelt MD 20770-3509 Ph: (301) 313-0425 | Greenway Family Medical Practice, Llc 7525 Greenway Center Dr 105 Greenbelt MD 20770-3509 Ph: (301) 313-0425 |
NPI Number | 1699149013 |
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Provider Enumeration Date | 11/23/2015 |
Last Update Date | 11/23/2015 |
Medicare PECOS PAC ID | 7618274903 |
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Medicare Enrollment ID | O20160331002217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699149013 | NPI | - | NPPES |
Provider Name | Zahra Butool Ahmed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124050067 PECOS PAC ID: 1658312624 Enrollment ID: I20050825000995 |
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