| Washington Concierge Medical Group, Llc | |
|
5530 Wisconsin Ave Ste 914 Chevy Chase MD 20815-4330 | |
| (301) 256-8070 | |
| (833) 937-2803 |
| Full Name | Washington Concierge Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5530 Wisconsin Ave Ste 914, Chevy Chase, Maryland |
| Authorized Official Name and Position | Ali Sanai (PRESIDENT) |
| Authorized Official Contact | 3012568070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Concierge Medical Group, Llc 5530 Wisconsin Ave Ste 914 Chevy Chase MD 20815-4330 Ph: (301) 256-8070 | Washington Concierge Medical Group, Llc 5530 Wisconsin Ave Ste 914 Chevy Chase MD 20815-4330 Ph: (301) 256-8070 |
| NPI Number | 1265181655 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 8527445691 |
|---|---|
| Medicare Enrollment ID | O20220510002033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265181655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ali Sanai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689728545 PECOS PAC ID: 7113065186 Enrollment ID: I20180322001885 |
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