| Ohp Ga Network Llc | |
|
4632 Reservoir Rd Nw Washington DC 20007-1917 | |
| (301) 908-4858 | |
| Not Available |
| Full Name | Ohp Ga Network Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4632 Reservoir Rd Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Brian Mathis (CEO) |
| Authorized Official Contact | 3019084858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohp Ga Network Llc 4632 Reservoir Rd Nw Washington DC 20007-1917 Ph: (301) 908-4858 | Ohp Ga Network Llc 4632 Reservoir Rd Nw Washington DC 20007-1917 Ph: (301) 908-4858 |
| NPI Number | 1235915661 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235915661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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