PHC Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0055185 Issued in MD

Legal business name

PHC HEALTHCARE LLC

Practice address

4700 Berwyn House Rd
Suite 105
College Park, MD 20740-2474

Phone

(301) 982-0011

Fax

(301) 476-7499

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Anuja Kurichh, MDNPI 1023228947

Title

Managing Member

Phone

(301) 237-2576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

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

• Anuja Gupta Kurichh, MD

  • Internal Medicine Physician
  • College Park, MD
  • NPI 1023228947

  DC

  Medicare reassignment NPD Authorized official
• Toni Marcina Tumonis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
  • NPI 1952479321
  NPD (past)
• Mohammed Y Pathan, MD

  • Neurology Physician
  • Columbus, GA
  • NPI 1073575288
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1962669804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BLACKBURN CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661650",
            "telephone_number": "301-237-2576",
            "fax_number": "301-476-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BERWYN HOUSE RD",
            "address_2": "SUITE 105",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402474",
            "telephone_number": "301-982-0011",
            "fax_number": "301-476-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "KURICHH",
        "authorized_official_first_name": "ANUJA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-237-2576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Anna Perrotta, CRNP
• Cynthia N Perry, ATC
• David Petersen, PH.D.
• Kimberly Lynn Pfister, PA-C
• Melissa Pforr, ATC
• Phi Life Sciences LLC
• Pepper Ellen Phillips
• Theodore Pickett Jr., PH.D.
• Shaunice Latrice Powell
• Astin Shea Powers, MD

• Internal Medicine Physician in College Park, MD
• Providers in College Park, 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 Jul 29, 2009; 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.