| Vip Physician Group LLC | |
|
166 Defense Hwy Annapolis MD 21401-8919 | |
| (240) 914-8721 | |
| (240) 513-7104 |
| Full Name | Vip Physician Group LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 166 Defense Hwy, Annapolis, Maryland |
| Authorized Official Name and Position | Semra Sahinci (PRESIDENT) |
| Authorized Official Contact | 2409148721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Physician Group LLC 166 Defense Hwy Ste 303 Annapolis MD 21401-8926 Ph: (250) 914-8721 | Vip Physician Group LLC 166 Defense Hwy Annapolis MD 21401-8919 Ph: (240) 914-8721 |
| NPI Number | 1134909955 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 5597111542 |
|---|---|
| Medicare Enrollment ID | O20231026002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134909955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Semra Sahinci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720067713 PECOS PAC ID: 7719952506 Enrollment ID: I20040826000235 |
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