Dr Shama Ravi Mittal, MD | |
14816 Physicians Ln, Suite 152, Rockville, MD 20850-3944 | |
(240) 453-0000 | |
(301) 591-4407 |
Full Name | Dr Shama Ravi Mittal |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 14816 Physicians Ln, Rockville, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508865973 | NPI | - | NPPES |
002542700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D061382 (Maryland) | Primary |
208000000X | Pediatrics | D061382 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Home Health Services | Silver spring, MD | Home health agency |
Entity Name | Adult And Pediatric Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497935605 PECOS PAC ID: 4183674450 Enrollment ID: O20050125000319 |
Mailing Address | Practice Location Address |
---|---|
Dr Shama Ravi Mittal, MD 14816 Physicians Ln, Suite 152, Rockville, MD 20850-3944 Ph: (240) 453-0000 | Dr Shama Ravi Mittal, MD 14816 Physicians Ln, Suite 152, Rockville, MD 20850-3944 Ph: (240) 453-0000 |
Stacy B Stryer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Research Blvd, Suite 370, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 | |
Dr. Faith E. Frankel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1684 E Gude Dr, Rockville, MD 20850 Phone: 301-217-9222 | |
Avril M Houston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5600 Fishers Lane, Rockville, MD 20857 Phone: 301-443-0842 | |
Mesfin Woldesenbet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-826-7392 Fax: 240-826-5388 | |
Dr. Aglae Economides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Executive Blvd, Suite 625, Rockville, MD 20852 Phone: 240-314-7080 | |
Dr. Stanley J Kramer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 East Jefferson Street, Rockville, MD 20852 Phone: 301-816-6425 Fax: 301-816-7115 | |
Paul Sergio Porras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 |