Healthcare Provider Details

I. General information

NPI: 1093649345
Provider Name (Legal Business Name): STANDARD HEALTHCARE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9135 PISCATAWAY RD STE 410
CLINTON MD
20735-2555
US

IV. Provider business mailing address

9135 PISCATAWAY RD STE 410
CLINTON MD
20735-2555
US

V. Phone/Fax

Practice location:
  • Phone: 240-643-1063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC KOWSHOH YENCHI
Title or Position: OWNER - AUTHORIZED OFFICIAL
Credential:
Phone: 240-643-1063