Deep Hans Mahapatra, | |
2 Colgate Dr Ste 103, Forest Hill, MD 21050-2623 | |
(410) 420-0161 | |
Not Available |
Full Name | Deep Hans Mahapatra |
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Gender | Male |
Speciality | Family Medicine |
Location | 2 Colgate Dr Ste 103, Forest Hill, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053874115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H96650 (Maryland) | Primary |
Entity Name | Upper Chesapeake Primary Care,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093902793 PECOS PAC ID: 3476637737 Enrollment ID: O20080225000747 |
Mailing Address | Practice Location Address |
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Deep Hans Mahapatra, 215 Brightwater Dr, Lillington, NC 27546-5156 Ph: (910) 892-1000 | Deep Hans Mahapatra, 2 Colgate Dr Ste 103, Forest Hill, MD 21050-2623 Ph: (410) 420-0161 |
Aly Mohamed Fathy Naguib, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Colgate Dr, Suite 103, Forest Hill, MD 21050 Phone: 410-420-0161 Fax: 410-420-0360 | |
Dr. Joseph Henry Schenk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 916 Delray Dr, Forest Hill, MD 21050 Phone: 410-803-1383 | |
Dr. Melanie Patrice Slack, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1694 Water Tower Way Ste 104, Forest Hill, MD 21050 Phone: 410-307-4568 Fax: 949-703-7304 | |
Kelly Grob, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1517 Rock Spring Rd, Forest Hill, MD 21050 Phone: 410-838-6358 |