| Premier Physician Partners Pc | |
|
5859 Donovan Ln Ellicott City MD 21043-6903 | |
| (703) 282-1796 | |
| Not Available |
| Full Name | Premier Physician Partners Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5859 Donovan Ln, Ellicott City, Maryland |
| Authorized Official Name and Position | Adnan Rahman Khan (PRESIDENT) |
| Authorized Official Contact | 7032821796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physician Partners Pc 5859 Donovan Ln Ellicott City MD 21043-6903 Ph: () - | Premier Physician Partners Pc 5859 Donovan Ln Ellicott City MD 21043-6903 Ph: (703) 282-1796 |
| NPI Number | 1366956625 |
|---|---|
| Provider Enumeration Date | 11/24/2017 |
| Last Update Date | 11/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366956625 | NPI | - | NPPES |
| 13721023 | Other | MD | CAQH PROVIDER ID |
| 12542361 | Other | MD | CAQH PROVIDER ID |
| 10416554 | Other | MD | CAQH PROVIDER ID |
| 12780303 | Other | MD | CAQH PROVIDER ID |
| 10436137 | Other | MD | CAQH PROVIDER ID |
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