| Internal Medicine Of Chevy Chase, P.a. | |
|
5530 Wisconsin Ave Suite 1400 Chevy Chase MD 20815-4404 | |
| (301) 656-9170 | |
| (301) 654-5893 |
| Full Name | Internal Medicine Of Chevy Chase, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5530 Wisconsin Ave, Chevy Chase, Maryland |
| Authorized Official Name and Position | George W Graves (PRESIDENT) |
| Authorized Official Contact | 3016569170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Chevy Chase, P.a. 5530 Wisconsin Ave Suite 1400 Chevy Chase MD 20815-4302 Ph: (301) 656-9170 | Internal Medicine Of Chevy Chase, P.a. 5530 Wisconsin Ave Suite 1400 Chevy Chase MD 20815-4404 Ph: (301) 656-9170 |
| NPI Number | 1720377013 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Medicare PECOS PAC ID | 5193998292 |
|---|---|
| Medicare Enrollment ID | O20111107000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720377013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M18811 (Maryland) | Primary |
| Provider Name | George W Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104919133 PECOS PAC ID: 8224135926 Enrollment ID: I20070514000616 |
| Provider Name | Deidra E Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598754475 PECOS PAC ID: 6406927342 Enrollment ID: I20080619000489 |
| Provider Name | Pasquale Santini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114948114 PECOS PAC ID: 1850416504 Enrollment ID: I20100917000626 |
| Provider Name | David Edward Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275547788 PECOS PAC ID: 5193919793 Enrollment ID: I20101027001199 |
| Provider Name | Christopher Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942225396 PECOS PAC ID: 7315112166 Enrollment ID: I20111207000208 |
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