| Primecare Med Llc | |
|
50 W Edmonston Dr Suite 401 Rockville MD 20852-1228 | |
| (301) 762-3030 | |
| (301) 762-3998 |
| Full Name | Primecare Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 W Edmonston Dr, Rockville, Maryland |
| Authorized Official Name and Position | Pankaj Talwar (SOLE PROPRIETOR/OWNER) |
| Authorized Official Contact | 3017623030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Med Llc Po Box 60620 Potomac MD 20859-0620 Ph: (301) 762-3030 | Primecare Med Llc 50 W Edmonston Dr Suite 401 Rockville MD 20852-1228 Ph: (301) 762-3030 |
| NPI Number | 1164667192 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 12/04/2008 |
| Medicare PECOS PAC ID | 3971667486 |
|---|---|
| Medicare Enrollment ID | O20090128000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164667192 | NPI | - | NPPES |
| 213065701 | Other | MD | OWNER SS# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pankaj Talwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174546410 PECOS PAC ID: 1951302652 Enrollment ID: I20070124000064 |
| Provider Name | Ginette Ndingue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770015794 PECOS PAC ID: 5698042257 Enrollment ID: I20170602000046 |
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