| Montgomery Endocrinology Llc | |
|
50 W Edmonston Dr Ste 600 Rockville MD 20852-1254 | |
| (301) 251-0662 | |
| (301) 251-7703 |
| Full Name | Montgomery Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 W Edmonston Dr Ste 600, Rockville, Maryland |
| Authorized Official Name and Position | Monika Mannan (SOLE MBR) |
| Authorized Official Contact | 3012510662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Endocrinology Llc Po Box 60528 Potomac MD 20859-0528 Ph: (301) 251-0662 | Montgomery Endocrinology Llc 50 W Edmonston Dr Ste 600 Rockville MD 20852-1254 Ph: (301) 251-0662 |
| NPI Number | 1396042941 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 7012188584 |
|---|---|
| Medicare Enrollment ID | O20110914000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396042941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | D0059510 (Maryland) | Primary |
| Provider Name | Monika Mannan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558472498 PECOS PAC ID: 3375500846 Enrollment ID: I20041216000105 |
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