| Mist Physician P.c. | |
|
8403 Colesville Rd Ste 100 Silver Spring MD 20910-6331 | |
| (844) 625-0623 | |
| Not Available |
| Full Name | Mist Physician P.c. |
|---|---|
| Speciality | Preventive Medicine |
| Location | 8403 Colesville Rd Ste 100, Silver Spring, Maryland |
| Authorized Official Name and Position | Alexander Singh (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8446250623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mist Physician P.c. 222 Broadway Fl 22 New York NY 10038-2570 Ph: (844) 625-0623 | Mist Physician P.c. 8403 Colesville Rd Ste 100 Silver Spring MD 20910-6331 Ph: (844) 625-0623 |
| NPI Number | 1891409561 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 0345699252 |
|---|---|
| Medicare Enrollment ID | O20231218000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891409561 | NPI | - | NPPES |
| Provider Name | Sowdhamani Bellapu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780944272 PECOS PAC ID: 5890080089 Enrollment ID: I20231218000616 |
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