Great Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREAT CARE, LLC

Practice address

9129 Travener Cir
Frederick, MD 21704-7824

Phone

(202) 964-3632

Fax

(240) 238-6613

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiran Samindla, MD

Title

Ceo/MD/Physician

Phone

(202) 964-3632

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1487235131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 TRAVENER CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047824",
            "telephone_number": "202-964-3632",
            "fax_number": "240-238-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 TRAVENER CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047824",
            "telephone_number": "202-964-3632",
            "fax_number": "240-238-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SAMINDLA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "CEO/MD/PHYSICIAN",
        "authorized_official_telephone_number": "202-964-3632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.