Organization
COMPREHENISVE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONSTANTIN KHLUDENEV MD (MANAGING PARTNER)
(301) 869-9776
Entity
Organization
Contact information
Practice address
15825 SHADY GROVE RD, SUITE 140, ROCKVILLE, MD 20850-4008
(301) 869-9776
Mailing address
15825 SHADY GROVE RD, SUITE 140, ROCKVILLE, MD 20850-4008
(301) 869-9776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0046438
MD
207R00000X
Internal Medicine Physician
D0059013
MD
363LA2200X
Adult Health Nurse Practitioner
R129771
MD
Other
Enumeration date
04/25/2006
Last updated
10/14/2008
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