Phc Healthcare Llc | |
4700 Berwyn House Rd Suite 105 College Park MD 20740-2474 | |
(301) 982-0011 | |
(301) 476-7499 |
Full Name | Phc Healthcare Llc |
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Speciality | Internal Medicine |
Location | 4700 Berwyn House Rd, College Park, Maryland |
Authorized Official Name and Position | Anuja Kurichh (MANAGING MEMBER) |
Authorized Official Contact | 3012372576 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phc Healthcare Llc 26 Blackburn Ct Burtonsville MD 20866-1650 Ph: (301) 237-2576 | Phc Healthcare Llc 4700 Berwyn House Rd Suite 105 College Park MD 20740-2474 Ph: (301) 982-0011 |
NPI Number | 1962669804 |
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Provider Enumeration Date | 05/19/2008 |
Last Update Date | 07/29/2009 |
Medicare PECOS PAC ID | 2365502648 |
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Medicare Enrollment ID | O20090319000020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962669804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0055185 (Maryland) | Primary |
Provider Name | Anuja G Kurichh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023228947 PECOS PAC ID: 8123188596 Enrollment ID: I20090319000014 |
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