Provider Demographics
NPI:1467298489
Name:ESRAM MEDICARE RISK ASSESSMENT CONSULTING FIRM LLC
Entity type:Organization
Organization Name:ESRAM MEDICARE RISK ASSESSMENT CONSULTING FIRM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLEOPATRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KULASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-378-8079
Mailing Address - Street 1:10530 CAMPUS WAY S # 1147
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1309
Mailing Address - Country:US
Mailing Address - Phone:202-378-8079
Mailing Address - Fax:202-378-8079
Practice Address - Street 1:7375 EXECUTIVE PL STE 400
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6232
Practice Address - Country:US
Practice Address - Phone:202-378-8079
Practice Address - Fax:202-378-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty