Jima Telele, MD | |
12164 Central Ave, Suite 200, Mitchellville, MD 20721-1944 | |
(301) 218-9223 | |
(240) 544-0120 |
Full Name | Jima Telele |
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Gender | Male |
Speciality | Internal Medicine |
Location | 12164 Central Ave, Mitchellville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356465553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0046895 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
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Jima Telele, MD 3710 Riviera St, Suite 1d, Temple Hills, MD 20748-1719 Ph: (301) 423-4551 | Jima Telele, MD 12164 Central Ave, Suite 200, Mitchellville, MD 20721-1944 Ph: (301) 218-9223 |
Dr. Desmond Fritzroy Johnson, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3806 Baskerville Dr, Mitchellville, MD 20721 Phone: 301-464-8628 Fax: 301-464-1224 | |
Dr. Cherie Monique Young, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12164 Central Ave, Suite 225, Mitchellville, MD 20721 Phone: 301-249-0970 Fax: 301-249-4246 | |
William F Duboyce, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12158 Central Ave, Mitchellville Plaza, Mitchellville, MD 20721 Phone: 301-430-2750 Fax: 301-430-2751 | |
Dr. Issa Yusuf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12164 Central Ave, Suite #223, Mitchellville, MD 20721 Phone: 301-249-5384 Fax: 301-249-6047 |