| Paul Law, MD | |
|
87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 | |
| (301) 694-0606 | |
| (301) 662-6928 |
| Full Name | Paul Law |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 87 Thomas Johnson Dr Ste 101, 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 |
|---|---|---|---|
| 1417168857 | NPI | - | NPPES |
| 412592400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D0057746 (Maryland) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Law, MD 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 Ph: (301) 694-0606 | Paul Law, MD 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 Ph: (301) 694-0606 |
Joyce J Ghiorzi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1475 Taney Ave, Suite 201, Frederick, MD 21702 Phone: 301-662-1930 Fax: 240-379-6710 | |
Dr. Keith B St. Amand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928 | |
Dr. Susan J Chaitovitz I, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1475 Taney Ave, Suite 201, Frederick, MD 21702 Phone: 301-662-0133 Fax: 240-379-6710 | |
Amy Marie Raynes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 W Seventh St, Frederick, MD 21701 Phone: 240-566-3251 | |
Dr. Bharti Razdan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 W 7th St, Nicu, Frederick Memorial Hospital, Frederick, MD 21701 Phone: 240-566-3582 Fax: 240-566-3061 | |
Leena Shrivastava Dev, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928 | |
Bophany Chea, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928 |