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PRO COVER LLC NPI 1952603987


NPI Information

NPI: 1952603987
Provider Name: PRO COVER LLC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
4601 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC
ZIP 20032
Phone: (202) 574-5700
Get Directions

PRO COVER LLC is a critical care medicine internal medicine in Washington, DC. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PRO COVER LLC NPI is 1952603987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4601 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC
ZIP 20032-131
Phone: (202) 574-5700

The provider's authorized official is Mohammad Reza Ghandi .
The authorized official title is Sole Member and has the following contact phone number (301) 704-6040.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 10/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineMD035078DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1414510100MEDICAIDMARYLAND
2492237MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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