Dr Martin A Portillo, MD | |
501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | |
(301) 258-7265 | |
(301) 258-7135 |
Full Name | Dr Martin A Portillo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 501 North Frederick Avenue, Gaithersburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134292493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0042033 (Maryland) | Primary |
207R00000X | Internal Medicine | MD19316 (District Of Columbia) | Secondary |
Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518 |
Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801137435 PECOS PAC ID: 6204744600 Enrollment ID: O20130717000817 |
Mailing Address | Practice Location Address |
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Dr Martin A Portillo, MD 2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook, Rockville, MD 20852-4908 Ph: (301) 816-6660 | Dr Martin A Portillo, MD 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 Ph: (301) 258-7265 |
Diane Mukherjee, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7 Metropolitan Ct Ste 1, Gaithersburg, MD 20878 Phone: 240-773-0300 | |
Dr. Kathleen Frekko Farrell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 West Diamond Avenue, Ste 130, Gaithersburg, MD 20878 Phone: 301-948-8780 Fax: 301-519-9093 | |
Dr. Alan Vinitsky, M.D Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 902 Wind River Ln Ste 201, Gaithersburg, MD 20878 Phone: 301-840-0002 Fax: 301-417-0262 | |
Qiufang Cheng, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16009 Comprint Cir, Gaithersburg, MD 20877 Phone: 301-339-8264 Fax: 301-339-8257 | |
Miranda Kai Hunter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 Watkins Mill Rd, Gaithersburg, MD 20879 Phone: 240-813-8740 | |
Dr. Tuanh Tonnu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9057 Shady Grove Ct, Gaithersburg, MD 20877 Phone: 301-721-1614 Fax: 301-721-1624 | |
Dr. Suhair A Abulfarag, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 S Frederick Ave Ste 413, Gaithersburg, MD 20877 Phone: 301-330-4414 Fax: 301-216-1637 |