| Docdx | |
|
4927 Auburn Ave Ste 200 Bethesda MD 20814-2641 | |
| (301) 951-3606 | |
| Not Available |
| Full Name | Docdx |
|---|---|
| Speciality | Clinic/Center |
| Location | 4927 Auburn Ave Ste 200, Bethesda, Maryland |
| Authorized Official Name and Position | Navin Goel (CEO) |
| Authorized Official Contact | 4106883082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Docdx 4938 Hampden Ln # 504 Bethesda MD 20814-2914 | Docdx 4927 Auburn Ave Ste 200 Bethesda MD 20814-2641 Ph: (301) 951-3606 |
| NPI Number | 1770204638 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Medicare PECOS PAC ID | 4486020054 |
|---|---|
| Medicare Enrollment ID | O20221022000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770204638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Gezzer Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477808343 PECOS PAC ID: 9830404029 Enrollment ID: I20180226000405 |
| Provider Name | Nancy J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073871687 PECOS PAC ID: 3577784586 Enrollment ID: I20200709000287 |
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