Organization
PRINCE GEORGE'S AMBULATORY CARE CENTER/ENDOSCOPY SUITES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATARAMAN PREM CHANDAR M. D. (DIRECTOR)
(301) 773-3900
Entity
Organization
Contact information
Practice address
6001 LANDOVER RD, SUITE 1, CHEVERLY, MD 20785-1143
(301) 773-3900
(301) 773-7869
Mailing address
6001 LANDOVER RD, SUITE 1, CHEVERLY, MD 20785-1143
(301) 773-3900
(301) 773-7869
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
A1036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC3
CAREFIRST BCBS
DC
Enumeration date
08/02/2005
Last updated
08/22/2020
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