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1201 Sycamore Dr Se Washington DC 20032-5956 | |
| (202) 745-7000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Sycamore Dr Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Naseema B Shafi (CEO) |
| Authorized Official Contact | 2027973572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1377 R St Nw Fl Nw2 Washington DC 20009-6293 Ph: (202) 745-7000 | 1201 Sycamore Dr Se Washington DC 20032-5956 Ph: (202) 745-7000 |
| NPI Number | 1821113341 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 6507755196 |
|---|---|
| Medicare Enrollment ID | O20130328000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821113341 | NPI | - | NPPES |
| 038947600 | Medicaid | DC | |
| 094870800 | Medicaid | DC | |
| 19094 | Other | DC | CHARTERED ALLIANCE |
| 094518400 | Medicaid | DC | |
| 5590 | Other | DC | HEALTH RIGHT INC. |
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