Premier Health Llc | |
3202 Tower Oaks Blvd Ste 200 Rockville MD 20852-4219 | |
(888) 880-3202 | |
(833) 450-0937 |
Full Name | Premier Health Llc |
---|---|
Speciality | Internal Medicine |
Location | 3202 Tower Oaks Blvd Ste 200, Rockville, Maryland |
Authorized Official Name and Position | Pallavi Gowda (DOCTOR) |
Authorized Official Contact | 3013090940 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Health Llc 3202 Tower Oaks Blvd Ste 200 Rockville MD 20852-4219 Ph: (888) 880-3202 | Premier Health Llc 3202 Tower Oaks Blvd Ste 200 Rockville MD 20852-4219 Ph: (888) 880-3202 |
NPI Number | 1164951257 |
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Provider Enumeration Date | 06/12/2017 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 4688949654 |
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Medicare Enrollment ID | O20171002003295 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164951257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Pallavi Gowda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821257478 PECOS PAC ID: 5991927675 Enrollment ID: I20141113000322 |
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