| Advanced Primary & Geriatric Care | |
|
15245 Shady Grove Rd Suite 130 Rockville MD 20850-3222 | |
| (301) 527-1650 | |
| (301) 527-8752 |
| Full Name | Advanced Primary & Geriatric Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 15245 Shady Grove Rd, Rockville, Maryland |
| Authorized Official Name and Position | Ravi Passi (PRESIDENT) |
| Authorized Official Contact | 3015271650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary & Geriatric Care Po Box 10067 Gaithersburg MD 20898-0067 Ph: (301) 527-1650 | Advanced Primary & Geriatric Care 15245 Shady Grove Rd Suite 130 Rockville MD 20850-3222 Ph: (301) 527-1650 |
| NPI Number | 1447229281 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 10/07/2022 |
| Medicare PECOS PAC ID | 4284615931 |
|---|---|
| Medicare Enrollment ID | O20040527000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447229281 | NPI | - | NPPES |
| 409902800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Masoud Djahanmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407143431 PECOS PAC ID: 8729093547 Enrollment ID: I20060215000793 |
| Provider Name | Babette Pennay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609889112 PECOS PAC ID: 8123122660 Enrollment ID: I20070322000472 |
| Provider Name | Lemolls Johny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467639971 PECOS PAC ID: 7012087950 Enrollment ID: I20080603000814 |
| Provider Name | Weihan Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982875449 PECOS PAC ID: 0648343517 Enrollment ID: I20080725000227 |
| Provider Name | Patricia Shukla Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487639142 PECOS PAC ID: 5698717718 Enrollment ID: I20080829000028 |
| Provider Name | John A Hudson Odoi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295967818 PECOS PAC ID: 5698815553 Enrollment ID: I20091228000405 |
| Provider Name | Ravi Passi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921665 PECOS PAC ID: 2365545415 Enrollment ID: I20101025000190 |
| Provider Name | Sheila M Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467605295 PECOS PAC ID: 7012196322 Enrollment ID: I20110119000435 |
| Provider Name | Sangeeta Simlote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326277278 PECOS PAC ID: 6305022369 Enrollment ID: I20110510000087 |
| Provider Name | Vera R. Reublinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164712287 PECOS PAC ID: 1052599677 Enrollment ID: I20121116000380 |
| Provider Name | Priya Vasdev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221197 PECOS PAC ID: 5597730572 Enrollment ID: I20141028002003 |
| Provider Name | Matthew Bruntel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114102134 PECOS PAC ID: 9436231842 Enrollment ID: I20141029000109 |
| Provider Name | Nina Rajaei |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306070370 PECOS PAC ID: 9133350630 Enrollment ID: I20141118000903 |
| Provider Name | Ranjit Yelamanchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477871028 PECOS PAC ID: 5890925903 Enrollment ID: I20141118001100 |
| Provider Name | Huong T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588942791 PECOS PAC ID: 9931368172 Enrollment ID: I20150224000269 |
| Provider Name | Florence Ekene Nwanety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159263 PECOS PAC ID: 3678861747 Enrollment ID: I20161006000065 |
| Provider Name | Sanjay Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255451811 PECOS PAC ID: 8921909722 Enrollment ID: I20170224000140 |
| Provider Name | Ancy Palakunnel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972047389 PECOS PAC ID: 2567748841 Enrollment ID: I20170421001165 |
| Provider Name | Carol A Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420811 PECOS PAC ID: 4789950478 Enrollment ID: I20171025000452 |
| Provider Name | Jinhyun Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164936266 PECOS PAC ID: 2163782244 Enrollment ID: I20180209001838 |
| Provider Name | Sheikh Bidora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992122816 PECOS PAC ID: 4183999428 Enrollment ID: I20180312002300 |
| Provider Name | Asha Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988118 PECOS PAC ID: 4183697766 Enrollment ID: I20180618002219 |
| Provider Name | Avneet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704735 PECOS PAC ID: 0840534046 Enrollment ID: I20181205000125 |
| Provider Name | Sydonie Bongam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881169415 PECOS PAC ID: 9638080252 Enrollment ID: I20190219000021 |
| Provider Name | Blessing Nwaneri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184272403 PECOS PAC ID: 4981033974 Enrollment ID: I20200326000153 |
| Provider Name | Lucy O Ogunsuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134759905 PECOS PAC ID: 4587087036 Enrollment ID: I20200701001393 |
| Provider Name | Gabriel M Sevalie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922604115 PECOS PAC ID: 4486051588 Enrollment ID: I20210915003838 |
| Provider Name | Joyce A Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932588662 PECOS PAC ID: 6406249077 Enrollment ID: I20220202001987 |
| Provider Name | Florence Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457057978 PECOS PAC ID: 1850757774 Enrollment ID: I20230519000548 |
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