Healthcare Provider Details
I. General information
NPI: 1932672607
Provider Name (Legal Business Name): DISCOVER U HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2019
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8101 SANDY SPRING RD STE 300
LAUREL MD
20707-3596
US
IV. Provider business mailing address
8101 SANDY SPRING RD STE 300
LAUREL MD
20707-3596
US
V. Phone/Fax
- Phone: 301-363-9233
- Fax:
- Phone: 301-363-9233
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAMGRACE
GACHENGE
Title or Position: OWNER/CEO
Credential:
Phone: 301-363-9233