| Optimal Medical Care Inc | |
|
11119 Rockville Pike Ste 316 Rockville MD 20852-3143 | |
| (301) 230-8989 | |
| (301) 979-7007 |
| Full Name | Optimal Medical Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11119 Rockville Pike Ste 316, Rockville, Maryland |
| Authorized Official Name and Position | Hooman Azmi (DOCTOR) |
| Authorized Official Contact | 2404812369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Medical Care Inc 11119 Rockville Pike Ste 316 Rockville MD 20852-3143 Ph: (310) 230-8989 | Optimal Medical Care Inc 11119 Rockville Pike Ste 316 Rockville MD 20852-3143 Ph: (301) 230-8989 |
| NPI Number | 1609146455 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 4789844531 |
|---|---|
| Medicare Enrollment ID | O20120402000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609146455 | NPI | - | NPPES |
| D0071076 | Other | MD | MARYLAND LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0071076 (Maryland) | Primary |
| Provider Name | Hooman Azmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588971618 PECOS PAC ID: 8022290675 Enrollment ID: I20110303000445 |
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