Grace Medical Clinic Llc

LBN: Grace Medical Clinic Llc
Grace Medical Clinic Llc is an health care organization with primary practice located at 5550 Friendship Blvd Ste 360 , Chevy Chase MD 20815-7256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Grace Medical Clinic Llc can be contacted via phone (240) 235-5202, or through Talebian, Hossien via phone (703) 955-4923.

Contact Information

Primary practice address
5550 Friendship Blvd Ste 360 Chevy Chase MD 20815-7256
Fax: (240) 341-1290
Website:
Authorized official contact:
Name: Talebian, Hossien

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1912538927
LBN Legal business name Grace Medical Clinic Llc
DBA Doing business as
Authorized official Talebian, Hossien
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2020
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912538927 NPPES
Maryland Other D71554 PHYSICIAN LICENSE
Maryland Other M91155 PHYSICIAN LICENSE

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