| Madhavi Hubbly Md | |
|
12116 Darnestown Rd Ste L5 Gaithersburg MD 20878-2227 | |
| (301) 528-4134 | |
| (301) 569-7358 |
| Full Name | Madhavi Hubbly Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 12116 Darnestown Rd Ste L5, Gaithersburg, Maryland |
| Authorized Official Name and Position | Madhavi Hubbly (PHYSICIAN) |
| Authorized Official Contact | 3015284134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madhavi Hubbly Md 12116 Darnestown Rd Ste L5 Gaithersburg MD 20878-2227 Ph: (301) 528-4134 | Madhavi Hubbly Md 12116 Darnestown Rd Ste L5 Gaithersburg MD 20878-2227 Ph: (301) 528-4134 |
| NPI Number | 1669860128 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 4688992167 |
|---|---|
| Medicare Enrollment ID | O20150413002020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669860128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D62562 (Maryland) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Madhavi Hubbly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710074521 PECOS PAC ID: 8628019973 Enrollment ID: I20070802000702 |
| Provider Name | Zoha Najam Waris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235581034 PECOS PAC ID: 6709274061 Enrollment ID: I20211020000008 |
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