Alexander Mamunes, | |
7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 | |
(615) 322-0128 | |
Not Available |
Full Name | Alexander Mamunes |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 7120 Minstrel Way Ste 100, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205368891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | D0097475 (Maryland) | Primary |
Entity Name | Gastro Center Of Maryland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164609111 PECOS PAC ID: 7517972037 Enrollment ID: O20060220000368 |
Mailing Address | Practice Location Address |
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Alexander Mamunes, 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 Ph: (104) 290-6677 | Alexander Mamunes, 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 Ph: (615) 322-0128 |
Dr. Jon Kent Minford, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Dr. Jacob Cherian, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Columbia, MD 21045 Phone: 410-964-5311 Fax: 410-964-8578 | |
Dr. Tejaswi Rajasekhara Sastry, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Michael Howard Kelemen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Suite 200b, Columbia, MD 21045 Phone: 410-964-5303 | |
Dr. Tin O Maung, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5999 Harpers Farm Rd, Suite W250, Columbia, MD 21044 Phone: 410-772-8822 Fax: 410-772-9274 | |
Dr. Jeffery Wayne Van Den Broek, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite 110, Columbia, MD 21044 Phone: 410-992-9797 Fax: 410-730-0942 | |
Angela M. Kopack, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-884-1311 Fax: 410-884-6033 |