| Srig Med LLC | |
|
21030 Frederick Rd Ste 102g Germantown MD 20876-4133 | |
| (240) 393-6880 | |
| Not Available |
| Full Name | Srig Med LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 21030 Frederick Rd Ste 102g, Germantown, Maryland |
| Authorized Official Name and Position | Atchutha Geetha Chan Chilakamarri (MD) |
| Authorized Official Contact | 2404398812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srig Med LLC 11829 Peppervine Dr # 20871 Clarksburg MD 20871-6312 Ph: (240) 393-6880 | Srig Med LLC 21030 Frederick Rd Ste 102g Germantown MD 20876-4133 Ph: (240) 393-6880 |
| NPI Number | 1245952985 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 4981071115 |
|---|---|
| Medicare Enrollment ID | O20230315001703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245952985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Secondary |
| Provider Name | Atchutha Geetha Chan Chilakamarri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1750508958 PECOS PAC ID: 7719029149 Enrollment ID: I20100125000080 |
| Provider Name | Sheeba Nadarajah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396314381 PECOS PAC ID: 1355733361 Enrollment ID: I20220126000111 |
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