| Premiere Primary Care Center, Llc | |
|
8714 Georgia Ave Silver Spring MD 20910-3601 | |
| (301) 588-2888 | |
| (301) 589-2007 |
| Full Name | Premiere Primary Care Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8714 Georgia Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Adaku Onukogu (PRESIDENT) |
| Authorized Official Contact | 3015882888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Primary Care Center, Llc 8714 Georgia Ave Silver Spring MD 20910-3601 Ph: (301) 588-2888 | Premiere Primary Care Center, Llc 8714 Georgia Ave Silver Spring MD 20910-3601 Ph: (301) 588-2888 |
| NPI Number | 1205065174 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 9032264411 |
|---|---|
| Medicare Enrollment ID | O20090909000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205065174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0065953 (Maryland) | Primary |
| Provider Name | Adaku C Onukogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427265958 PECOS PAC ID: 7214020114 Enrollment ID: I20070910000146 |
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