| Smart Health Medical & Beahvioral Services Llc | |
|
10770 Columbia Pike Ste 300 Silver Spring MD 20901-4439 | |
| (443) 863-9930 | |
| Not Available |
| Full Name | Smart Health Medical & Beahvioral Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10770 Columbia Pike Ste 300, Silver Spring, Maryland |
| Authorized Official Name and Position | Zuwena Mohammed Iddi (FNP/PMHNP) |
| Authorized Official Contact | 3017557162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Health Medical & Beahvioral Services Llc 906 Milestone Dr Silver Spring MD 20904 Ph: () - | Smart Health Medical & Beahvioral Services Llc 10770 Columbia Pike Ste 300 Silver Spring MD 20901-4439 Ph: (443) 863-9930 |
| NPI Number | 1205600764 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 2567812506 |
|---|---|
| Medicare Enrollment ID | O20240103001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205600764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Zuwena Mohamed Iddi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831447747 PECOS PAC ID: 2365831146 Enrollment ID: I20211117000285 |
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