| Jhcp-14955 Shady Grove Road Ste 100 | |
|
14955 Shady Grove Rd Ste 100 Rockville MD 20850-8728 | |
| (410) 933-0000 | |
| Not Available |
| Full Name | Jhcp-14955 Shady Grove Road Ste 100 |
|---|---|
| Speciality | Internal Medicine |
| Location | 14955 Shady Grove Rd Ste 100, Rockville, Maryland |
| Authorized Official Name and Position | Steven Kravet (AO) |
| Authorized Official Contact | 4109330000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhcp-14955 Shady Grove Road Ste 100 6201 Greenleigh Ave Middle River MD 21220-2004 Ph: (410) 933-0000 | Jhcp-14955 Shady Grove Road Ste 100 14955 Shady Grove Rd Ste 100 Rockville MD 20850-8728 Ph: (410) 933-0000 |
| NPI Number | 1376362855 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376362855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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