Organization
PREMIERE HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY PRASAD M.D. (OWNER/MEDICAL DIRECTOR)
(301) 770-1711
Entity
Organization
Contact information
Practice address
3200 TOWER OAKS BLVD, SUITE 100, NORTH BETHESDA, MD 20852-4216
(301) 770-1711
(301) 770-1624
Mailing address
3200 TOWER OAKS BLVD, SUITE 100, NORTH BETHESDA, MD 20852-4216
(301) 770-1711
(301) 770-1624
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0055302
MD
207LP3000X
Pediatric Anesthesiology Physician
D0055302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4409810
—
DC
05
—
5702801
—
VA
05
—
660309200
—
MD
Enumeration date
06/29/2009
Last updated
06/29/2009
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