| Jivana Care | |
|
4927 Auburn Ave Ste 200 Bethesda MD 20814-2641 | |
| (301) 951-3606 | |
| (240) 215-3171 |
| Full Name | Jivana Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4927 Auburn Ave Ste 200, Bethesda, Maryland |
| Authorized Official Name and Position | Gezzer Ortega (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3019513606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jivana Care 8347 Cherry Ln Laurel MD 20707-4828 Ph: (410) 529-7880 | Jivana Care 4927 Auburn Ave Ste 200 Bethesda MD 20814-2641 Ph: (301) 951-3606 |
| NPI Number | 1710375662 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 2860705910 |
|---|---|
| Medicare Enrollment ID | O20160322000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710375662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Subash Babu Duggirala |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1215903653 PECOS PAC ID: 5799713921 Enrollment ID: I20050729000430 |
| Provider Name | Gezzer Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477808343 PECOS PAC ID: 9830404029 Enrollment ID: I20180226000405 |
| Provider Name | Melinda Jorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568862399 PECOS PAC ID: 3173898772 Enrollment ID: I20201106002082 |
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