| Rockville Medical Care Llc | |
|
2401 Research Blvd Suite 360 Rockville MD 20850-3215 | |
| (240) 449-8900 | |
| (240) 566-5775 |
| Full Name | Rockville Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 Research Blvd, Rockville, Maryland |
| Authorized Official Name and Position | Janna Lachtchinina (OWNER) |
| Authorized Official Contact | 3016019600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockville Medical Care Llc 540 Monet Dr Rockville MD 20850-3020 Ph: () - | Rockville Medical Care Llc 2401 Research Blvd Suite 360 Rockville MD 20850-3215 Ph: (240) 449-8900 |
| NPI Number | 1679009617 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 7719257989 |
|---|---|
| Medicare Enrollment ID | O20170720001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679009617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D64024 (Maryland) | Primary |
| Provider Name | Janna Lachtchinina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740227529 PECOS PAC ID: 4385657972 Enrollment ID: I20060727000146 |
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