Kanan H Hudhud, MD | |
46b Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4300 | |
(301) 695-6777 | |
(601) 695-4852 |
Full Name | Kanan H Hudhud |
---|---|
Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 46b Thomas Johnson Dr, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528069226 | NPI | - | NPPES |
01960001 | Other | MD | CAREFIRST FEDERAL |
0081294000 | Medicaid | WV | |
75884400 | Medicaid | MD | |
4320060 | Other | MD | AETNA |
3810004318 | Other | WV | CLIA NUMBER |
522074387 | Other | MD | TAX ID |
52567805 | Other | MD | CAREFIRST |
3601024 | Other | MD | UNITED HEALTHCARE |
452203 | Other | MD | MAMSI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 20263 (West Virginia) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | D41866 (Maryland) | Primary |
Entity Name | Hospital Development Co. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790745677 PECOS PAC ID: 4183527476 Enrollment ID: O20040406000528 |
Entity Name | Camden-clark Physician Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
Mailing Address | Practice Location Address |
---|---|
Kanan H Hudhud, MD 46b Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4300 Ph: (301) 695-6777 | Kanan H Hudhud, MD 46b Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4300 Ph: (301) 695-6777 |
Dr. Patrick Johannes Mansky, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477 | |
Gaffar A Syed, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 Toll House Ave, H4, Frederick, MD 21701 Phone: 301-698-9444 Fax: 301-695-4444 | |
Dr. Kristin A Conley, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct, Frederick, MD 21703 Phone: 240-566-7830 | |
Mr. Lloyd E Halvorson, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 7115 Guilford Dr Ste 202, Frederick, MD 21704 Phone: 301-663-5922 | |
Dr. Jeffrey Nathan Cowen, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 915 Toll House Ave, Suite 308, Frederick, MD 21701 Phone: 301-663-5790 Fax: 301-698-6259 | |
Dr. Michael Terry Sullivan, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 22 S Market Street, Frederick, MD 21701 Phone: 301-682-5683 Fax: 301-682-3499 | |
Kellen Mulhern, D.O. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 7211 Bank Ct Ste 200, Frederick, MD 21703 Phone: 240-215-6310 |