Nevena Puletic
KHOSROW DAVACHI,MD PC


Address: 45 Saint Particks Dr, Waldorf, MD 20603-4507
Phone: 3019327013

Nevena Puletic (NPI# 1902364342, PAC ID# 7214261767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1902364342
PAC ID by PECOS 7214261767
Professional Enrollment ID I20190703000175
Full Name Nevena Puletic
Organization Legal Name KHOSROW DAVACHI,MD PC
Address 45 Saint Particks Dr
Waldorf
MD 20603-4507
Phone Number 3019327013
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6901932466
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
090008 UNITED MEDICAL CENTER

Other Locations

Address Phone Organization
45 Saint Particks Dr, Waldorf, MD 20603-4507 3019327013 KHOSROW DAVACHI,MD PC
1328 Southern Avenue Se, Suite 310, Washington, DC 20032-4689 2025620400 KHOSROW DAVACHI,MD PC

Organization Information

Organization Legal Name KHOSROW DAVACHI,MD PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Khosrow Davachi Internal Medicine Khosrow Davachi,md PC 1328 Southern Avenue Se, Suite 310, Washington, DC 20032-4689

Office Location

Street Address 45 SAINT PARTICKS DR
City WALDORF
State MD
Zip 20603-4507

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Name Specialty Organization Address
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Karin Novinger Speech Language Pathologist Fox Rehab Slp Md LLC 45 Saint Patricks Dr, Waldorf, MD 20603-4507
Melinda Sears Speech Language Pathologist Fox Rehab Slp Md LLC 45 Saint Patricks Dr, Waldorf, MD 20603-4507
Ryerson Stinson Occupational Therapy Proflex Physical Therapy of Maryland LLC 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603-4583
Vabian L Paden Physical Medicine and Rehabilitation Paden-life-care LLC 10 Saint Patricks Dr, Waldorf, MD 20603-4583
Frank Digiovannantonio Occupational Therapy Proflex Physical Therapy of Maryland, LLC 10 Saint Patricks Dr, Waldorf, MD 20603-4583
Dainty J Jackson Family Medicine 10 Saint Patricks Dr, Suite 502, Waldorf, MD 20603-4584
Hadia Riaz Choudhary Optometry Frederick J Sauerburger Md Pa 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804
Frederick J Sauerburger Ophthalmology Frederick J Sauerburger Md Pa 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804
Theresa Solaski Optometry Frederick J Sauerburger Md Pa 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804
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Competitor

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City WALDORF
Zip Code 20603
Specialty NURSE PRACTITIONER
City + Specialty WALDORF + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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