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NPI Code Detail

MEDICARE: AXIS HEALTHCARE GROUP, PC

MEDICARE: AXIS HEALTHCARE GROUP, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1598203200
Entity Type Code : Organization
Provider Name (Legal Business Name) : AXIS HEALTHCARE GROUP, PC
Provider Business Mailing Address
First Line : 8040 GEORGIA AVE STE 170
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4959
Country : US
Telephone Number : 202-360-4787
Fax Number : 202-360-4787
Provider Business Practice Location Address
First Line : 8040 GEORGIA AVE STE 170
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4959
Country : US
Telephone Number : 202-360-4787
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JUDE ALEXANDER
Credential : MD
Telephone Number : 202-360-4787
Provider Enumeration Date : 02/02/2017
Last Update Date : 01/11/2024

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