| Primecare Med Center Llc | |
|
11161 New Hampshire Ave Ste 305 Silver Spring MD 20904-2606 | |
| (301) 592-0062 | |
| (301) 592-0300 |
| Full Name | Primecare Med Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11161 New Hampshire Ave Ste 305, Silver Spring, Maryland |
| Authorized Official Name and Position | Nnenna Ihuoma Okigbo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3015920062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Med Center Llc 11161 New Hampshire Ave Ste 305 Silver Spring MD 20904-2606 Ph: (301) 592-0062 | Primecare Med Center Llc 11161 New Hampshire Ave Ste 305 Silver Spring MD 20904-2606 Ph: (301) 592-0062 |
| NPI Number | 1932225661 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 07/13/2009 |
| Medicare PECOS PAC ID | 6709833593 |
|---|---|
| Medicare Enrollment ID | O20050404000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932225661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0060824 (Maryland) | Primary |
| Provider Name | Nnenna I Okigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538167028 PECOS PAC ID: 7911972542 Enrollment ID: I20050404000995 |
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