Varahe Health Services Llc | |
303 Adclare Rd Rockville MD 20850-3825 | |
(301) 991-4654 | |
Not Available |
Full Name | Varahe Health Services Llc |
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Speciality | Family Medicine |
Location | 303 Adclare Rd, Rockville, Maryland |
Authorized Official Name and Position | Nicole Banzhoff (OWNER) |
Authorized Official Contact | 3019914654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Varahe Health Services Llc Po Box 128 Williamsport MD 21795-0128 Ph: () - | Varahe Health Services Llc 303 Adclare Rd Rockville MD 20850-3825 Ph: (301) 991-4654 |
NPI Number | 1811727753 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 08/09/2024 |
Medicare PECOS PAC ID | 6002347077 |
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Medicare Enrollment ID | O20241001002774 |
Identifier | Type | State | Issuer |
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1811727753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Susan Lyons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710252150 PECOS PAC ID: 1850547514 Enrollment ID: I20120813000088 |
Provider Name | Kimberly Griffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982943551 PECOS PAC ID: 8224261268 Enrollment ID: I20140429000408 |
Provider Name | Colleen Marshall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215532346 PECOS PAC ID: 5799173241 Enrollment ID: I20221028002320 |
Provider Name | Jenny Marie Hoffman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942906680 PECOS PAC ID: 0042675175 Enrollment ID: I20230425001610 |
Provider Name | Maureen Musi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104315779 PECOS PAC ID: 1355677709 Enrollment ID: I20241015003451 |
Provider Name | Baekcheol Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114405537 PECOS PAC ID: 5193078905 Enrollment ID: I20241018002005 |
Provider Name | Shakeisha Jarvis-drake |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366800211 PECOS PAC ID: 5799219846 Enrollment ID: I20241112001221 |
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