| Kentlands Medical Associates P.c | |
|
344 Main St Suite 100 Gaithersburg MD 20878-5563 | |
| (240) 632-0333 | |
| (240) 632-0661 |
| Full Name | Kentlands Medical Associates P.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 344 Main St, Gaithersburg, Maryland |
| Authorized Official Name and Position | Rupinder Singh (PRESIDENT) |
| Authorized Official Contact | 2406320333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentlands Medical Associates P.c 344 Main St Suite 100 Gaithersburg MD 20878-5563 Ph: (240) 632-0333 | Kentlands Medical Associates P.c 344 Main St Suite 100 Gaithersburg MD 20878-5563 Ph: (240) 632-0333 |
| NPI Number | 1023337003 |
|---|---|
| Provider Enumeration Date | 05/30/2010 |
| Last Update Date | 12/28/2011 |
| Medicare PECOS PAC ID | 6608847165 |
|---|---|
| Medicare Enrollment ID | O20040805001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023337003 | NPI | - | NPPES |
| 095951100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0055335 (Maryland) | Primary |
| Provider Name | Rupinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750480729 PECOS PAC ID: 0648240010 Enrollment ID: I20040731000190 |
| Provider Name | Susan Thompson Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083799118 PECOS PAC ID: 2466538434 Enrollment ID: I20080403000323 |
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