Dr Gary C Prada, MD | |
11055 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2896 | |
(410) 740-2900 | |
(410) 740-2955 |
Full Name | Dr Gary C Prada |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 11055 Little Patuxent Pkwy, Columbia, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154313062 | NPI | - | NPPES |
1342957 | Other | MD | CIGNA PIN |
243371 | Other | MD | MAMSI SPECIALIST |
443211800 | Medicaid | MD | |
3509-0005 | Other | MD | CAREFIRST BLUECHOICE |
4238655 | Other | MD | AETNA FEE FOR SERVICE |
024210 | Other | MD | JHHC PROVIDER NUMBER |
0477640 | Other | MD | AETNA CAPITATED |
843371 | Other | MD | MAMSI PRIMARY CARE |
110140826 | Other | MD | RR MEDICARE |
524039-01 | Other | MD | CAREFIRST MD RENDERING |
P12723 | Other | MD | CAREFIRST MPOS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0022587 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Gary C Prada, MD 1111 Benfield Blvd, Suite 200, Millersville, MD 21108-3002 Ph: (410) 729-5100 | Dr Gary C Prada, MD 11055 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2896 Ph: (410) 740-2900 |
Dr. Jon Kent Minford, M.D. Internal Medicine 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. Internal Medicine 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. Internal Medicine 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. Internal Medicine 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. Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Medicare Enrolled Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-884-1311 Fax: 410-884-6033 |