Provider Demographics
NPI:1013945039
Name:FAMILY HEALTH CARE OF SILVER SPRING
Entity Type:Organization
Organization Name:FAMILY HEALTH CARE OF SILVER SPRING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOPHAR
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP MSN
Authorized Official - Phone:301-592-1784
Mailing Address - Street 1:344 UNIVERSITY BLVD. WEST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901
Mailing Address - Country:US
Mailing Address - Phone:301-592-1784
Mailing Address - Fax:301-592-1783
Practice Address - Street 1:344 UNIVERSITY BLVD. WEST
Practice Address - Street 2:SUITE 213
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901
Practice Address - Country:US
Practice Address - Phone:301-592-1784
Practice Address - Fax:301-592-1783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKEP7FAOtherCFBCBS OF MD
DCG5150001OtherCFBCBS OF DC