Scholar Medical Group Md Llc | |
133 Rollins Ave Ste 3 Rockville MD 20852-4040 | |
(202) 935-1033 | |
(202) 935-1033 |
Full Name | Scholar Medical Group Md Llc |
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Speciality | Clinic/Center |
Location | 133 Rollins Ave Ste 3, Rockville, Maryland |
Authorized Official Name and Position | Dipak Shah (MD) |
Authorized Official Contact | 2029351033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scholar Medical Group Md Llc 133 Rollins Ave Ste 3 Rockville MD 20852-4040 Ph: (202) 935-1033 | Scholar Medical Group Md Llc 133 Rollins Ave Ste 3 Rockville MD 20852-4040 Ph: (202) 935-1033 |
NPI Number | 1639796428 |
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Provider Enumeration Date | 06/29/2020 |
Last Update Date | 05/18/2021 |
Medicare PECOS PAC ID | 3072936301 |
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Medicare Enrollment ID | O20200706001286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639796428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Akimyo C Russell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295928570 PECOS PAC ID: 6305926551 Enrollment ID: I20071231000353 |
Provider Name | Lilieth Occenad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144628538 PECOS PAC ID: 4688999717 Enrollment ID: I20170605002688 |
Provider Name | Tiana Proctor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821514282 PECOS PAC ID: 2365718384 Enrollment ID: I20171019000872 |
Provider Name | Leonard Mugo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659815520 PECOS PAC ID: 7810259421 Enrollment ID: I20180517002504 |
Provider Name | Andrea Ajogun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902360118 PECOS PAC ID: 9537401401 Enrollment ID: I20200408001145 |
Provider Name | Nichola Patton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487212304 PECOS PAC ID: 8820423601 Enrollment ID: I20200415000414 |
Provider Name | Laura Fischer |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1548775067 PECOS PAC ID: 4284064080 Enrollment ID: I20200418000322 |
Provider Name | Kierstan Kerns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871129726 PECOS PAC ID: 0042649105 Enrollment ID: I20200520002834 |
Provider Name | Kimberly Cocozello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750457511 PECOS PAC ID: 9234173881 Enrollment ID: I20200522002307 |
Provider Name | Dipak K Shah |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598792731 PECOS PAC ID: 8628080942 Enrollment ID: I20200720000434 |
Provider Name | Dominiquekal Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306499264 PECOS PAC ID: 5092139006 Enrollment ID: I20200723002115 |
Provider Name | Elisabeth Diane Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023297652 PECOS PAC ID: 0244317642 Enrollment ID: I20200925001155 |
Provider Name | Sarah Waldroup |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609167253 PECOS PAC ID: 2062681851 Enrollment ID: I20201002000794 |
Provider Name | Azra Hasan Hussaini |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245343987 PECOS PAC ID: 2961578208 Enrollment ID: I20201222000087 |
Provider Name | Miracle Dikeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306425541 PECOS PAC ID: 6406255660 Enrollment ID: I20210520002485 |
Provider Name | Naomi Constantine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225212756 PECOS PAC ID: 0143385732 Enrollment ID: I20220104000053 |
Provider Name | Avia Barrett-powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700372141 PECOS PAC ID: 6800288598 Enrollment ID: I20220107001382 |
Provider Name | Caroline Njane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952845810 PECOS PAC ID: 5395007900 Enrollment ID: I20220223001817 |
Provider Name | Nkechinyere Asoluka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396306114 PECOS PAC ID: 4183953508 Enrollment ID: I20220301000479 |
Provider Name | Samantha Joy Hunley |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1306435250 PECOS PAC ID: 1052707031 Enrollment ID: I20220330001986 |
Provider Name | Jigna P Kane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710297924 PECOS PAC ID: 5496930703 Enrollment ID: I20220503000002 |
Provider Name | Taushia Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780149435 PECOS PAC ID: 5395173306 Enrollment ID: I20220629001513 |
Provider Name | Karen Zarrelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447556493 PECOS PAC ID: 2668767138 Enrollment ID: I20221012000514 |
Provider Name | Brittany N Pollard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407491095 PECOS PAC ID: 8729498852 Enrollment ID: I20221117002567 |
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