| Imind Health | |
|
4703 Old Soper Rd Ste R1 Camp Springs MD 20746-4030 | |
| (703) 395-2109 | |
| Not Available |
| Full Name | Imind Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4703 Old Soper Rd Ste R1, Camp Springs, Maryland |
| Authorized Official Name and Position | Khanh-linh Flynn (MANAGING PARTNER) |
| Authorized Official Contact | 7033952109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imind Health 4703 Old Soper Rd Ste R1 Camp Springs MD 20746-4030 Ph: (703) 395-2109 | Imind Health 4703 Old Soper Rd Ste R1 Camp Springs MD 20746-4030 Ph: (703) 395-2109 |
| NPI Number | 1265921647 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Medicare PECOS PAC ID | 9537417324 |
|---|---|
| Medicare Enrollment ID | O20180810001456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265921647 | NPI | - | NPPES |
| Provider Name | Karen L Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255610820 PECOS PAC ID: 6103086806 Enrollment ID: I20120404000089 |
| Provider Name | Romtin Sharolli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508361510 PECOS PAC ID: 0648514174 Enrollment ID: I20181210002237 |
| Provider Name | Nji J Fru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275893794 PECOS PAC ID: 8224374319 Enrollment ID: I20190610000895 |
| Provider Name | Archie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164800439 PECOS PAC ID: 8325450513 Enrollment ID: I20201211001303 |
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