| Nava Health and Vitality Center | |
|
9755 Patuxent Woods Dr Ste 100 Columbia MD 21046-2288 | |
| (800) 762-6282 | |
| (410) 630-5781 |
| Full Name | Nava Health and Vitality Center |
|---|---|
| Speciality | Family Medicine |
| Location | 9755 Patuxent Woods Dr Ste 100, Columbia, Maryland |
| Authorized Official Name and Position | Tammy Muir (COMPLIANCE OFFICER) |
| Authorized Official Contact | 4109105959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nava Health and Vitality Center 9755 Patuxent Woods Dr Ste 100 Columbia MD 21046-2288 Ph: (800) 762-6282 | Nava Health and Vitality Center 9755 Patuxent Woods Dr Ste 100 Columbia MD 21046-2288 Ph: (800) 762-6282 |
| NPI Number | 1225617897 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 7517366149 |
|---|---|
| Medicare Enrollment ID | O20240522001630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225617897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (NU) | Secondary |
| Provider Name | Komal Yadav |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659808392 PECOS PAC ID: 9739449257 Enrollment ID: I20200807001496 |
| Provider Name | Carolyn Cerswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437889623 PECOS PAC ID: 9032576582 Enrollment ID: I20230529000138 |
| Provider Name | Carl Lord |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063462349 PECOS PAC ID: 1759447311 Enrollment ID: I20240522001608 |
| Provider Name | Ashley Beccaloni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285227355 PECOS PAC ID: 7416350905 Enrollment ID: I20240708003376 |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417395971 PECOS PAC ID: 6709019847 Enrollment ID: I20240730003913 |
| Provider Name | Annie Ressalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922392752 PECOS PAC ID: 4284933169 Enrollment ID: I20241010001725 |
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