| Unique Health Clinic, Llc | |
|
7217 Hanover Pkwy Ste B Greenbelt MD 20770-2020 | |
| (301) 769-6558 | |
| Not Available |
| Full Name | Unique Health Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7217 Hanover Pkwy Ste B, Greenbelt, Maryland |
| Authorized Official Name and Position | Nkem Zos (CRNP-PMHNP) |
| Authorized Official Contact | 3017696558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique Health Clinic, Llc 7217 Hanover Pkwy Ste B Greenbelt MD 20770-2020 Ph: (301) 769-6558 | Unique Health Clinic, Llc 7217 Hanover Pkwy Ste B Greenbelt MD 20770-2020 Ph: (301) 769-6558 |
| NPI Number | 1255733119 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 4587950902 |
|---|---|
| Medicare Enrollment ID | O20190411001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255733119 | NPI | - | NPPES |
| 12731759 | Other | MD | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R123455 (Maryland) | Primary |
| Provider Name | Stephane Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376963975 PECOS PAC ID: 7911122155 Enrollment ID: I20140711001472 |
| Provider Name | Nkem Zos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811317472 PECOS PAC ID: 4183849730 Enrollment ID: I20140715002143 |
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