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NPI Code Detail

MEDICARE: PREMIER HEALTH CARE LLC

MEDICARE: PREMIER HEALTH CARE 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1881067783
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER HEALTH CARE LLC
Provider Business Mailing Address
First Line : 12073 TECH RD
Second Line : SUITE B
City : SILVER SPRING
State : MD
Zip : 20904-7873
Country : US
Telephone Number : 240-396-5873
Fax Number : 240-683-6203
Provider Business Practice Location Address
First Line : 12073 TECH RD
Second Line : SUITE B
City : SILVER SPRING
State : MD
Zip : 20904-7873
Country : US
Telephone Number : 240-396-5873
Fax Number : 240-683-6203
Authorized Official
Title or Position : OWNER
Name : NARAYAN RAMESH
Credential : M.D
Telephone Number : 240-683-6202
Provider Enumeration Date : 11/02/2015
Last Update Date : 11/02/2015

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