| Aba Health Services Inc | |
|
3939 Reisterstown Rd Ste 150 Baltimore MD 21215-7601 | |
| (410) 367-7821 | |
| (410) 367-7823 |
| Full Name | Aba Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3939 Reisterstown Rd Ste 150, Baltimore, Maryland |
| Authorized Official Name and Position | Albert Njoku (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4103677821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Health Services Inc 3123 Lakewood Manor Dr Finksburg MD 21048-1653 Ph: (410) 367-7821 | Aba Health Services Inc 3939 Reisterstown Rd Ste 150 Baltimore MD 21215-7601 Ph: (410) 367-7821 |
| NPI Number | 1720019672 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 6204896764 |
|---|---|
| Medicare Enrollment ID | O20041019000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720019672 | NPI | - | NPPES |
| 400448500 | Medicaid | MD | |
| 400407800 | Medicaid | MD | |
| 643107 | Other | MD | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Myun Ki Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104888940 PECOS PAC ID: 7719947274 Enrollment ID: I20041020000154 |
| Provider Name | Mahmoud N Malayeri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639166358 PECOS PAC ID: 6002876562 Enrollment ID: I20041020000185 |
| Provider Name | Syeda N Hafiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215998711 PECOS PAC ID: 0446278477 Enrollment ID: I20051108000333 |
| Provider Name | Ullal L Mallya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871646810 PECOS PAC ID: 9638359227 Enrollment ID: I20110215000323 |
| Provider Name | Angela Awuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417351255 PECOS PAC ID: 4789902867 Enrollment ID: I20150422000238 |
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