| Gul Chablani, Md, Pc | |
|
11119 Rockville Pike Suite # 401 Rockville MD 20852-3143 | |
| (301) 468-2520 | |
| Not Available |
| Full Name | Gul Chablani, Md, Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 11119 Rockville Pike, Rockville, Maryland |
| Authorized Official Name and Position | Gul Chablani (CEO) |
| Authorized Official Contact | 3014682520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gul Chablani, Md, Pc 11314 Coral Gables Dr North Potomac MD 20878-3803 Ph: (301) 468-2520 | Gul Chablani, Md, Pc 11119 Rockville Pike Suite # 401 Rockville MD 20852-3143 Ph: (301) 468-2520 |
| NPI Number | 1316136369 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/01/2012 |
| Medicare PECOS PAC ID | 1658358056 |
|---|---|
| Medicare Enrollment ID | O20040702000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316136369 | NPI | - | NPPES |
| DB0662 | Other | DC | RAIL ROAD MEDICARE |
| 6503 | Other | DC | CAREFIRST BLUE SHIELD |
| 805201800 | Medicaid | MD | |
| 2008GG | Other | MD | CAREFIRST BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | D42518 (Maryland) | Primary |
| Provider Name | Gul G Chablani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538246061 PECOS PAC ID: 8628260478 Enrollment ID: I20101012000408 |
| Provider Name | Saeedeh Jomehdokht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770738932 PECOS PAC ID: 2365677838 Enrollment ID: I20131109000171 |
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