Your Family Medical Center | |
4313 Bel Pre Rd Rockville MD 20853-2050 | |
(301) 442-0908 | |
Not Available |
Full Name | Your Family Medical Center |
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Speciality | Clinic/Center |
Location | 4313 Bel Pre Rd, Rockville, Maryland |
Authorized Official Name and Position | Shahi Krishnan Prabhakaran (PRESIDENT) |
Authorized Official Contact | 3014420908 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Your Family Medical Center 4313 Bel Pre Rd Rockville MD 20853-2050 Ph: (301) 442-0908 | Your Family Medical Center 4313 Bel Pre Rd Rockville MD 20853-2050 Ph: (301) 442-0908 |
NPI Number | 1841778784 |
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Provider Enumeration Date | 08/02/2018 |
Last Update Date | 08/02/2018 |
Medicare PECOS PAC ID | 4082965629 |
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Medicare Enrollment ID | O20180921000126 |
Identifier | Type | State | Issuer |
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1841778784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | R113675 (Maryland) | Primary |
Provider Name | Shahi Krishnan Prabhakaran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588783567 PECOS PAC ID: 5991056533 Enrollment ID: I20180921000187 |
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