| Capital Internal Medicine & Geriatrics LLC | |
|
106 Irving St Nw Ste 211 Washington DC 20010-2993 | |
| (202) 722-0149 | |
| Not Available |
| Full Name | Capital Internal Medicine & Geriatrics LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 Irving St Nw Ste 211, Washington, District Of Columbia |
| Authorized Official Name and Position | Raj Mathur (MD) |
| Authorized Official Contact | 3015204318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Internal Medicine & Geriatrics LLC 10218 Yearling Dr Rockville MD 20850-3548 | Capital Internal Medicine & Geriatrics LLC 106 Irving St Nw Ste 211 Washington DC 20010-2993 Ph: (202) 722-0149 |
| NPI Number | 1104325760 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 5294087938 |
|---|---|
| Medicare Enrollment ID | O20181009000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104325760 | NPI | - | NPPES |
| 010371400 | Medicaid | DC | |
| 405924700 | Medicaid | MD |
| Provider Name | Raj Pratap Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992864177 PECOS PAC ID: 7517852437 Enrollment ID: I20040219000345 |
| Provider Name | Gordon O Ramsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992864433 PECOS PAC ID: 3072616150 Enrollment ID: I20070309000304 |
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