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NPI Code Detail

MEDICARE: AXIS HEALTHCARE GROUP

MEDICARE: AXIS HEALTHCARE GROUP
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 PhysicianMD34102DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326295098
Entity Type Code : Organization
Provider Name (Legal Business Name) : AXIS HEALTHCARE GROUP
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 : 301-363-2575
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 : JUDE R ALEXANDER
Credential :
Telephone Number : 202-360-4787
Provider Enumeration Date : 08/25/2008
Last Update Date : 01/11/2024

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1598203200 — AXIS HEALTHCARE GROUP, PC
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8040 GEORGIA AVE STE 170
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Directions to “AXIS HEALTHCARE GROUP ” Practice Location

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