MEDICARE: MYSTROKECLINIC, LLC

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
1	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235613209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYSTROKECLINIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 30044
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815
Country	:	US
Telephone Number	:	315-313-0146
Fax Number	:

Provider Business Practice Location Address
First Line	:	7131 ARLINGTON RD APT 253
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-2944
Country	:	US
Telephone Number	:	315-313-0146
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SUSHMA MANDA
Credential	:	MD
Telephone Number	:	315-313-0146

Provider Enumeration Date	:	09/17/2018
Last Update Date	:	09/19/2021

Similar Medicare Providers

1487990495 — BETHESDA MEDICARE SERVICES LTD
Practice Location Address:

990 GRAND CANYON PKWY , SUITE 418
HOFFMAN ESTATES, IL
60169-1737

Practice Phone: 331-472-8802
Practice Fax: 331-472-8803

1558524603 — DR. SUSHMA MANDA M.D.,
Practice Location Address:

7131 ARLINGTON RD APT 253
BETHESDA, MD
20814-2944

Practice Phone: 315-313-0146
Practice Fax:

1063902088 — MICHELLE BINDER DNP
Practice Location Address:

4301 JONES BRIDGE RD
BETHESDA, MD
20814-4712

Practice Phone: 301-295-0216
Practice Fax:

1659259935 — MRS. DORATHY EMERSHIA ROBERT
Practice Location Address:

3 BETHESDA METRO CTR STE 744
BETHESDA, MD
20814-6418

Practice Phone: 800-494-6163
Practice Fax:

1538015920 — MS. MARIA GABRIELA PEZO
Practice Location Address:

4835 CORDELL AVE APT 908
BETHESDA, MD
20814-3171

Practice Phone: 802-310-3432
Practice Fax:

1538258470 — P. BRANDON SOLOMON MSW
Practice Location Address:

4400 E WEST HWY , SUITE 427
BETHESDA, MD
20814-4524

Practice Phone: 301-656-0438
Practice Fax:

Directions to “MYSTROKECLINIC, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.