| Great Care, LLC | |
|
9129 Travener Cir Frederick MD 21704-7824 | |
| (202) 964-3632 | |
| (240) 238-6613 |
| Full Name | Great Care, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9129 Travener Cir, Frederick, Maryland |
| Authorized Official Name and Position | Kiran Samindla (CEO/MD/PHYSICIAN) |
| Authorized Official Contact | 2029643632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Care, LLC 9129 Travener Cir Frederick MD 21704-7824 Ph: (202) 964-3632 | Great Care, LLC 9129 Travener Cir Frederick MD 21704-7824 Ph: (202) 964-3632 |
| NPI Number | 1487235131 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487235131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RN0300X | Internal Medicine - Nephrology | () | Secondary |
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