| Canary Doctor LLC | |
|
8904 Maxwell Dr Potomac MD 20854-3124 | |
| (301) 706-4461 | |
| Not Available |
| Full Name | Canary Doctor LLC |
|---|---|
| Speciality | General Practice |
| Location | 8904 Maxwell Dr, Potomac, Maryland |
| Authorized Official Name and Position | Alex Mohseni (OWNER) |
| Authorized Official Contact | 3017064461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canary Doctor LLC 8904 Maxwell Dr Potomac MD 20854-3124 Ph: (301) 706-4461 | Canary Doctor LLC 8904 Maxwell Dr Potomac MD 20854-3124 Ph: (301) 706-4461 |
| NPI Number | 1548889447 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 04/10/2020 |
| Certification Date | 04/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548889447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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