Menon Medical Center Llc | |
10605 Concord St Suite 300 Kensington MD 20895-2504 | |
(301) 942-9833 | |
(301) 942-9837 |
Full Name | Menon Medical Center Llc |
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Speciality | Internal Medicine |
Location | 10605 Concord St, Kensington, Maryland |
Authorized Official Name and Position | Roji Menon (PRESIDENT) |
Authorized Official Contact | 3019429833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Menon Medical Center Llc Po Box 645 Kensington MD 20895-0645 Ph: (301) 942-9833 | Menon Medical Center Llc 10605 Concord St Suite 300 Kensington MD 20895-2504 Ph: (301) 942-9833 |
NPI Number | 1245636455 |
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Provider Enumeration Date | 11/15/2014 |
Last Update Date | 04/07/2016 |
Medicare PECOS PAC ID | 3173848546 |
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Medicare Enrollment ID | O20150205000668 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245636455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0057879 (Maryland) | Primary |
Provider Name | Roji Menon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639269046 PECOS PAC ID: 9638271216 Enrollment ID: I20070228000462 |
Provider Name | Lisa B Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326366477 PECOS PAC ID: 2062666456 Enrollment ID: I20141209000958 |
Provider Name | Parvaneh Yahyapour |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184078669 PECOS PAC ID: 0345530903 Enrollment ID: I20160609002195 |
Provider Name | Patricia Guay-berry |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1568716272 PECOS PAC ID: 3870866544 Enrollment ID: I20170830003382 |
Provider Name | Christine Brandt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891343992 PECOS PAC ID: 8325473275 Enrollment ID: I20200122003123 |
Provider Name | Yuliya Matsova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184241614 PECOS PAC ID: 0143633057 Enrollment ID: I20210114001797 |
Provider Name | Rachel G Nichols |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164825980 PECOS PAC ID: 1850777681 Enrollment ID: I20221003001342 |
Provider Name | Maria Pilar Oria |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1225757321 PECOS PAC ID: 2365828860 Enrollment ID: I20221014001420 |
Provider Name | Cristina I Mullenix |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750924841 PECOS PAC ID: 1557710761 Enrollment ID: I20231213003308 |
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