| Olney Medical Group, Llc | |
|
3411 Olandwood Ct Suite 105 Olney MD 20832-1488 | |
| (301) 774-5260 | |
| (301) 774-1336 |
| Full Name | Olney Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3411 Olandwood Ct, Olney, Maryland |
| Authorized Official Name and Position | Gaurang Thaker (OWNER) |
| Authorized Official Contact | 3017745260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olney Medical Group, Llc Po Box 157 Ashton MD 20861-0157 Ph: (301) 570-9700 | Olney Medical Group, Llc 3411 Olandwood Ct Suite 105 Olney MD 20832-1488 Ph: (301) 774-5260 |
| NPI Number | 1720019011 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 06/30/2010 |
| Medicare PECOS PAC ID | 5294717385 |
|---|---|
| Medicare Enrollment ID | O20040602001479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720019011 | NPI | - | NPPES |
| 488302100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D43430 (Maryland) | Primary |
| Provider Name | Marian Ruta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679787048 PECOS PAC ID: 2466470661 Enrollment ID: I20051107000252 |
| Provider Name | Aneesa I Keya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558536508 PECOS PAC ID: 2062571219 Enrollment ID: I20081104000065 |
| Provider Name | Gaurang Thaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043241433 PECOS PAC ID: 7810979903 Enrollment ID: I20110926000768 |
| Provider Name | Leith A Abdulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861606782 PECOS PAC ID: 3375607385 Enrollment ID: I20160315000390 |
| Provider Name | Amrutha Viswanatha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033154679 PECOS PAC ID: 4082893433 Enrollment ID: I20190308001942 |
| Provider Name | Saritha Sudharsun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205308285 PECOS PAC ID: 0840527610 Enrollment ID: I20190816001399 |
| Provider Name | Patricia Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376017236 PECOS PAC ID: 9133459605 Enrollment ID: I20190925003569 |
Montgomery Internal Medicine Assoc., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Olney Sandy Spring Rd, Olney, MD 20832 Phone: 301-774-6655 Fax: 301-774-5652 | |
Medical And Wellness Center Of Olney Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4000 Olney-laytonsville Rd, Olney, MD 20832 Phone: 301-774-2506 Fax: 301-774-3734 | |
Ashraf M. Sufi, M.d. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18111 Prince Philip Dr, Suite 202, Olney, MD 20832 Phone: 301-919-9689 | |
Advance Internal Medicine P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18121 George Ave, Suite #103, Olney, MD 20832 Phone: 301-933-5050 Fax: 301-949-3262 | |
Proyecto Salud Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18111 Prince Philip Dr, Suite 312, Olney, MD 20832 Phone: 301-260-1073 Fax: 301-260-1074 | |
Medstar Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18045 Georgia Ave, Olney, MD 20832 Phone: 855-910-3278 | |
Thomas E. Dooley, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17904 Georgia Ave, Suite #304, Olney, MD 20832 Phone: 301-924-2790 Fax: 301-924-1631 |