Boram Ji, MD | |
301 Hospital Dr, Glen Burnie, MD 21061 | |
(410) 787-4000 | |
Not Available |
Full Name | Boram Ji |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 301 Hospital Dr, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497132930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | P31325 (Maryland) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | U3252 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
---|---|
Boram Ji, MD 7965 Brightlight Pl, Ellicott City, MD 21043-7959 Ph: (443) 812-6463 | Boram Ji, MD 301 Hospital Dr, Glen Burnie, MD 21061 Ph: (410) 787-4000 |
Dr. Stephen Joseph Hittman, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 Fax: 410-595-1914 | |
Astrid Rivera Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6622b Ritchie Hwy Arundel Plaza,, Glen Burnie, MD 21061 Phone: 443-912-5437 | |
Jessica S Kosut, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4565 Fax: 410-766-7602 | |
Sushma Bhasin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 331 Oak Manor Dr, Glen Burnie, MD 21061 Phone: 410-768-0700 Fax: 410-768-1143 | |
Dr. Padma M Lala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1410 Crain Hwy N, Ste 3a, Glen Burnie, MD 21061 Phone: 410-766-7800 Fax: 410-766-7855 | |
Dr. Harini Sankhavaram Prasanna, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 325 Hospital Dr, 204, Glen Burnie, MD 21061 Phone: 410-768-8525 Fax: 410-768-9757 | |
D R Fitzgerald, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4565 Fax: 410-766-7602 |