| Premier Health Llc | |
|
15005 Shady Grove Rd Ste 220 Rockville MD 20850-6358 | |
| (301) 309-0940 | |
| (660) 951-7834 |
| Full Name | Premier Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15005 Shady Grove Rd Ste 220, Rockville, Maryland |
| Authorized Official Name and Position | Pallavi Gowda (DOCTOR) |
| Authorized Official Contact | 3013090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Llc 15005 Shady Grove Rd Ste 220 Rockville MD 20850-6358 Ph: (301) 309-0940 | Premier Health Llc 15005 Shady Grove Rd Ste 220 Rockville MD 20850-6358 Ph: (301) 309-0940 |
| NPI Number | 1164951257 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 4688949654 |
|---|---|
| Medicare Enrollment ID | O20171002003295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164951257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pallavi Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821257478 PECOS PAC ID: 5991927675 Enrollment ID: I20141113000322 |
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