| Potomac Internists, P.c. | |
|
5215 Loughboro Rd Nw Suite 440 Washington DC 20016-2618 | |
| (202) 237-2910 | |
| (202) 237-2913 |
| Full Name | Potomac Internists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5215 Loughboro Rd Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Kevin G Nealon (PRESIDENT) |
| Authorized Official Contact | 2022372910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Internists, P.c. 5215 Loughboro Rd Nw Suite 440 Washington DC 20016-2618 Ph: (202) 237-2910 | Potomac Internists, P.c. 5215 Loughboro Rd Nw Suite 440 Washington DC 20016-2618 Ph: (202) 237-2910 |
| NPI Number | 1124319116 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 05/18/2021 |
| Medicare PECOS PAC ID | 9032383518 |
|---|---|
| Medicare Enrollment ID | O20111118000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124319116 | NPI | - | NPPES |
| 1124319116 | Other | DC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin G Nealon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467552463 PECOS PAC ID: 1658478342 Enrollment ID: I20070514000553 |
| Provider Name | Robert H Blee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730193301 PECOS PAC ID: 1658479456 Enrollment ID: I20101027000975 |
| Provider Name | Theodore C.m. Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891857082 PECOS PAC ID: 6709969876 Enrollment ID: I20110125000733 |
| Provider Name | John P Tabacco |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437443330 PECOS PAC ID: 8224267489 Enrollment ID: I20140919000411 |
| Provider Name | Timothy A Arling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588930234 PECOS PAC ID: 4789994690 Enrollment ID: I20180201000117 |
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