Your Family Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R113675 Issued in MD

Legal business name

YOUR FAMILY MEDICAL CENTER

Practice address

4313 Bel Pre Rd
Rockville, MD 20853-2050

Phone

(301) 442-0908

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Shahi Krishnan PrabhakaranNPI 1588783567

Title

President

Phone

(301) 442-0908

Specialties & licenses 1

Addresses

Other names 1

• Your Family Medical Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahi Krishnan Prabhakaran, MSN

  • Nurse Practitioner
  • Rockville, MD
  • NPI 1588783567

  DC

  Medicare reassignment Authorized official
• Inder Singh

  • Specialist
  • Baltimore, MD
  • NPI 1407821614
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1841778784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 BEL PRE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532050",
            "telephone_number": "301-442-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 BEL PRE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532050",
            "telephone_number": "301-442-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "PRABHAKARAN",
        "authorized_official_first_name": "SHAHI",
        "authorized_official_middle_name": "KRISHNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-442-0908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R113675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Family Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zsa Zsa Young
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• Habeba Youssef
• Noora Youssefi
• Yousuf Al-Aboosi DDS LLC
• Samina M. Yousufi, M.D.
• Ysern Therapy & Consulting, LLC

• Primary Care Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.