Rita Ghosh Md | |
15200 Shady Grove Rd Ste 400 Rockville MD 20850-6256 | |
(301) 738-0053 | |
(301) 738-1058 |
Full Name | Rita Ghosh Md |
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Speciality | Internal Medicine |
Location | 15200 Shady Grove Rd Ste 400, Rockville, Maryland |
Authorized Official Name and Position | Mahashweta Rita Ghosh (OWNER) |
Authorized Official Contact | 3017380053 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rita Ghosh Md 15200 Shady Grove Rd Ste 400 Rockville MD 20850-6256 Ph: (301) 738-0053 | Rita Ghosh Md 15200 Shady Grove Rd Ste 400 Rockville MD 20850-6256 Ph: (301) 738-0053 |
NPI Number | 1770593238 |
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Provider Enumeration Date | 08/08/2006 |
Last Update Date | 05/21/2020 |
Medicare PECOS PAC ID | 1850337163 |
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Medicare Enrollment ID | O20050707000903 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770593238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D30132 (Maryland) | Primary |
Provider Name | M Rita Ghosh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356521173 PECOS PAC ID: 8022054337 Enrollment ID: I20050707000919 |
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