| Personic Virtual Clinic Llc | |
|
10320 Little Patuxent Pkwy Ste 200 Columbia MD 21044-3344 | |
| (251) 901-3011 | |
| (215) 933-6837 |
| Full Name | Personic Virtual Clinic Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 10320 Little Patuxent Pkwy Ste 200, Columbia, Maryland |
| Authorized Official Name and Position | Syed Naqvi (DO) |
| Authorized Official Contact | 2519013011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personic Virtual Clinic Llc 8133 Leesburg Pike Ste 630 Vienna VA 22182-2730 Ph: (251) 901-3011 | Personic Virtual Clinic Llc 10320 Little Patuxent Pkwy Ste 200 Columbia MD 21044-3344 Ph: (251) 901-3011 |
| NPI Number | 1740878420 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 8729496849 |
|---|---|
| Medicare Enrollment ID | O20210409000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740878420 | NPI | - | NPPES |
| Provider Name | Richard Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811970056 PECOS PAC ID: 2567489909 Enrollment ID: I20150309001702 |
| Provider Name | Shwetha Chagalamarri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134487127 PECOS PAC ID: 2769616184 Enrollment ID: I20161111000543 |
| Provider Name | Humaira N Arzomand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134448855 PECOS PAC ID: 3577707173 Enrollment ID: I20180102000350 |
| Provider Name | Daniel Yumin Song |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477949931 PECOS PAC ID: 4082964135 Enrollment ID: I20180911001572 |
| Provider Name | Zainab Moriba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851920664 PECOS PAC ID: 1759702244 Enrollment ID: I20200609003242 |
| Provider Name | Amar A Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346697760 PECOS PAC ID: 5092009563 Enrollment ID: I20200903002670 |
| Provider Name | Soojeong Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978104 PECOS PAC ID: 1355754110 Enrollment ID: I20210115001471 |
| Provider Name | Jade Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629785 PECOS PAC ID: 2860800281 Enrollment ID: I20210422002272 |
| Provider Name | Alex Chua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285138792 PECOS PAC ID: 5991050312 Enrollment ID: I20221024000395 |
| Provider Name | Allyson Nakia Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881711869 PECOS PAC ID: 1153799515 Enrollment ID: I20221116002263 |
| Provider Name | Omer Haroon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972855104 PECOS PAC ID: 0547565970 Enrollment ID: I20221116003417 |
| Provider Name | Sulman Mirza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699036012 PECOS PAC ID: 8820238652 Enrollment ID: I20221117002637 |
| Provider Name | Joy Dawson Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881344430 PECOS PAC ID: 5193161552 Enrollment ID: I20240308000501 |
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