| Reliance Healthcare, Llc | |
|
1993 Pulaski Hwy Bear DE 19701-1708 | |
| (302) 838-3100 | |
| Not Available |
| Full Name | Reliance Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1993 Pulaski Hwy, Bear, Delaware |
| Authorized Official Name and Position | Zebun Nisa (MANAGING MEMBER) |
| Authorized Official Contact | 4439075756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Healthcare, Llc 1993 Pulaski Hwy Bear DE 19701-1708 Ph: (302) 838-3100 | Reliance Healthcare, Llc 1993 Pulaski Hwy Bear DE 19701-1708 Ph: (302) 838-3100 |
| NPI Number | 1073043824 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 07/03/2023 |
| Medicare PECOS PAC ID | 0042583460 |
|---|---|
| Medicare Enrollment ID | O20170907000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073043824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D64083 (Maryland) | Primary |
| 208000000X | Pediatrics | D64019 (Maryland) | Secondary |
| Provider Name | Yasmin Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801849377 PECOS PAC ID: 9931112398 Enrollment ID: I20170928000451 |
| Provider Name | Qayyum Nazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669425120 PECOS PAC ID: 4284652314 Enrollment ID: I20170928000607 |
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