| Afsaneh Golban, AGACNP-BC | |
|
12104 Red Admiral Way, Germantown, MD 20876-5938 | |
| (202) 413-2849 | |
| Not Available |
| Full Name | Afsaneh Golban |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 12104 Red Admiral Way, Germantown, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508630369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0600X | Registered Nurse - Gerontology | R236897 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ajit P Kuruvilla Md Llc | 8729304118 | 3 |
| Entity Name | Ajit P Kuruvilla Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801131024 PECOS PAC ID: 8729304118 Enrollment ID: O20150302001550 |
| Mailing Address | Practice Location Address |
|---|---|
| Afsaneh Golban, AGACNP-BC 12104 Red Admiral Way, Germantown, MD 20876-5938 Ph: (202) 413-2849 | Afsaneh Golban, AGACNP-BC 12104 Red Admiral Way, Germantown, MD 20876-5938 Ph: (202) 413-2849 |
Mrs. Tihesha E. Simmons, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 21345 Village Green Cir, Germantown, MD 20876 Phone: 240-418-9720 Fax: 301-972-2571 | |
Rosemary Digioia, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19735 Germantown Rd, Ste, Germantown, MD 20874 Phone: 301-528-9272 Fax: 301-917-6501 | |
Isaac A Mensah, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12101 Panthers Ridge Dr, Germantown, MD 20876 Phone: 202-748-5641 | |
Mercedes L Thomas, CPNP, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12774 Wisteria Dr # 2841, Germantown, MD 20874 Phone: 404-635-6175 | |
Olivia Chung, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19801 Observation Dr, Germantown, MD 20876 Phone: 240-535-8455 | |
Obiageli Duru Anoumatacky, CRNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 19735 Germantown Rd, Germantown, MD 20874 Phone: 301-634-9600 Fax: 301-493-8553 |