| Osteopathic Physicians Of The Potomac | |
|
10810 Darnestown Rd Ste 205 Gaithersburg MD 20878-2601 | |
| (301) 660-8855 | |
| Not Available |
| Full Name | Osteopathic Physicians Of The Potomac |
|---|---|
| Speciality | Clinic/Center |
| Location | 10810 Darnestown Rd Ste 205, Gaithersburg, Maryland |
| Authorized Official Name and Position | Grady Kaiser (OWNER) |
| Authorized Official Contact | 3016608855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osteopathic Physicians Of The Potomac 9300 Corporate Blvd Apt 1347 Rockville MD 20850-3795 Ph: (601) 466-4351 | Osteopathic Physicians Of The Potomac 10810 Darnestown Rd Ste 205 Gaithersburg MD 20878-2601 Ph: (301) 660-8855 |
| NPI Number | 1528521705 |
|---|---|
| Provider Enumeration Date | 04/13/2019 |
| Last Update Date | 04/13/2019 |
| Medicare PECOS PAC ID | 2365775830 |
|---|---|
| Medicare Enrollment ID | O20190617000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528521705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Grady Kaiser |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932587763 PECOS PAC ID: 8729381173 Enrollment ID: I20190617000032 |
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