Organization
PRO COVER LLC
Active
Organization
PRO COVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD REZA GHANDI M.D. (SOLE MEMBER)
(301) 704-6040
Entity
Organization
Contact information
Practice address
4601 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-1131
(202) 574-5700
Mailing address
16100 NURSERY LN, GAITHERSBURG, MD 20878-2211
(301) 704-6040
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD035078
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414510100
—
MD
Enumeration date
11/23/2010
Last updated
10/10/2016
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