| Mikhail Gendel Family Practice, Llc | |
|
16220 Frederick Rd Suite 200 Gaithersburg MD 20877-4039 | |
| (301) 519-2650 | |
| (301) 519-2653 |
| Full Name | Mikhail Gendel Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 16220 Frederick Rd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mikhail Gendel (PHYSICIAN) |
| Authorized Official Contact | 3015192650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Gendel Family Practice, Llc 16220 Frederick Rd Suite 200 Gaithersburg MD 20877-4039 Ph: (301) 519-2650 | Mikhail Gendel Family Practice, Llc 16220 Frederick Rd Suite 200 Gaithersburg MD 20877-4039 Ph: (301) 519-2650 |
| NPI Number | 1861419715 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 11/24/2011 |
| Medicare PECOS PAC ID | 9537108832 |
|---|---|
| Medicare Enrollment ID | O20050426001438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861419715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DOO52322 (Maryland) | Primary |
| Provider Name | Mikhail Gendel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235178344 PECOS PAC ID: 4385534023 Enrollment ID: I20040317000787 |
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