| Sandeep Sharma, M.d., L.l.c. | |
|
9701 Veirs Dr Rockville MD 20850-3414 | |
| (301) 675-4279 | |
| Not Available |
| Full Name | Sandeep Sharma, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9701 Veirs Dr, Rockville, Maryland |
| Authorized Official Name and Position | Sandeep Sharma (PRESIDENT) |
| Authorized Official Contact | 3016754279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandeep Sharma, M.d., L.l.c. 11605 Glynshire Ct Potomac MD 20854-2029 Ph: (301) 675-4279 | Sandeep Sharma, M.d., L.l.c. 9701 Veirs Dr Rockville MD 20850-3414 Ph: (301) 675-4279 |
| NPI Number | 1306041710 |
|---|---|
| Provider Enumeration Date | 06/16/2007 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 0143316133 |
|---|---|
| Medicare Enrollment ID | O20080618000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306041710 | NPI | - | NPPES |
| FTV1S | Other | MD | CAREFIRST |
| F227 | Other | DC | CAREFIRST |
| 040040900 | Medicaid | DC | |
| DN3466 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0064624 (Maryland) | Primary |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194734376 PECOS PAC ID: 8224034921 Enrollment ID: I20080218000269 |
| Provider Name | Edward Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467811109 PECOS PAC ID: 6901103290 Enrollment ID: I20160627000896 |
| Provider Name | Janet Ngwafu Ndumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710494554 PECOS PAC ID: 6103171566 Enrollment ID: I20200116000627 |
| Provider Name | Janice Khauslender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245510635 PECOS PAC ID: 8022283472 Enrollment ID: I20210311000665 |
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