Family Medicine, Geriatric Medicine
ENNOBLE HC DMV II LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134002900 · enumerated 2025-07-29 · record updated 2025-07-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KUSHABHADRA DAS, CEO · (862) 812-9010
Addresses and phones
- Mailing address 2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ, 07601-6211 (551) 295-8223 Google Maps Apple Maps OpenStreetMap
- Practice location 962 WAYNE AVE STE 250, SILVER SPRING, MD, 20910-4433 (240) 744-0001 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Geriatric Medicine 207QG0300X · Primary
In this directory
MD Montgomery County Silver Spring Family Medicine, Geriatric Medicine
Locations and evidence
-
Practice location
SILVER SPRING, MD, 209104433
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.