| Icarenow Llc | |
|
20 Watkins Park Dr Ste B Upper Marlboro MD 20774-1628 | |
| (540) 277-0007 | |
| Not Available |
| Full Name | Icarenow Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Watkins Park Dr Ste B, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Ejaz M Khan (OWNER) |
| Authorized Official Contact | 5402770007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icarenow Llc 10506 Dominion Valley Dr Fairfax Station VA 22039-2412 Ph: (540) 277-0007 | Icarenow Llc 20 Watkins Park Dr Ste B Upper Marlboro MD 20774-1628 Ph: (540) 277-0007 |
| NPI Number | 1245967033 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 1355717042 |
|---|---|
| Medicare Enrollment ID | O20221020002904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245967033 | NPI | - | NPPES |
| Provider Name | Ejaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669416160 PECOS PAC ID: 7810991908 Enrollment ID: I20221020002997 |
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