| Tony P. Kannarkat. Md. Pa | |
|
8201 16th St Suite 121 Blair House Silver Spring MD 20910-3240 | |
| (301) 587-5090 | |
| (301) 587-8045 |
| Full Name | Tony P. Kannarkat. Md. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8201 16th St, Silver Spring, Maryland |
| Authorized Official Name and Position | Tony Pappachan Kannarkat (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3015875090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony P. Kannarkat. Md. Pa 8201 16th St Suite 121 Blair House Silver Spring MD 20910-3240 Ph: (301) 587-5090 | Tony P. Kannarkat. Md. Pa 8201 16th St Suite 121 Blair House Silver Spring MD 20910-3240 Ph: (301) 587-5090 |
| NPI Number | 1376877308 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Medicare PECOS PAC ID | 3971659194 |
|---|---|
| Medicare Enrollment ID | O20090914000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376877308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0020062 (Maryland) | Primary |
| Provider Name | Tony P Kannarkat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073543237 PECOS PAC ID: 6800942020 Enrollment ID: I20090914000127 |
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