| Potomac Neurology, Llp | |
|
15200 Shady Grove Rd Suite 202 Rockville MD 20850-3218 | |
| (410) 419-4382 | |
| Not Available |
| Full Name | Potomac Neurology, Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15200 Shady Grove Rd, Rockville, Maryland |
| Authorized Official Name and Position | Thien Nguyen (DIRECTOR) |
| Authorized Official Contact | 4104194382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Neurology, Llp 15200 Shady Grove Rd Suite 202 Rockville MD 20850-3218 Ph: () - | Potomac Neurology, Llp 15200 Shady Grove Rd Suite 202 Rockville MD 20850-3218 Ph: (410) 419-4382 |
| NPI Number | 1558602854 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 06/03/2013 |
| Medicare PECOS PAC ID | 1254573686 |
|---|---|
| Medicare Enrollment ID | O20130814000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558602854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D0062240 (Maryland) | Primary |
| Provider Name | Thien T Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639123938 PECOS PAC ID: 4981660131 Enrollment ID: I20130814000040 |
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