Jhu - Rehab Medicine | |
600 N Wolfe St Baltimore MD 21287-0005 | |
(410) 532-4701 | |
Not Available |
Full Name | Jhu - Rehab Medicine |
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Speciality | Physical Medicine & Rehabilitation |
Location | 600 N Wolfe St, Baltimore, Maryland |
Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
Authorized Official Contact | 4109336430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jhu - Rehab Medicine Po Box 64407 Baltimore MD 21264-4407 Ph: () - | Jhu - Rehab Medicine 600 N Wolfe St Baltimore MD 21287-0005 Ph: (410) 532-4701 |
NPI Number | 1831195502 |
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Provider Enumeration Date | 06/27/2005 |
Last Update Date | 07/21/2022 |
Certification Date | 03/07/2021 |
Medicare PECOS PAC ID | 4981745098 |
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Medicare Enrollment ID | O20160831000216 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831195502 | NPI | - | NPPES |
CA7788 | Other | MD | RRMC |
040535900 | Medicaid | DC | |
359501300 | Medicaid | MD |
Provider Name | Akhil Chhatre |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1861665952 PECOS PAC ID: 4688863384 Enrollment ID: I20160831000491 |
Provider Name | Jessica Engle |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1194017731 PECOS PAC ID: 5395024061 Enrollment ID: I20161121001186 |
Provider Name | Lan Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477956373 PECOS PAC ID: 0749503951 Enrollment ID: I20170112000063 |
Provider Name | Ashot S Kotcharian |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1770802266 PECOS PAC ID: 6608091806 Enrollment ID: I20171020000555 |
Provider Name | Eva Seligman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144562562 PECOS PAC ID: 3678831054 Enrollment ID: I20171212001273 |
Provider Name | Nishant Nannapaneni |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1023457371 PECOS PAC ID: 3375774607 Enrollment ID: I20180129000856 |
Provider Name | Andrew Manuel Nava |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1417391459 PECOS PAC ID: 0042582314 Enrollment ID: I20180423000270 |
Provider Name | Ronald Shin |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1275933079 PECOS PAC ID: 1456609189 Enrollment ID: I20180813000384 |
Provider Name | Ayesha Khan |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1376955088 PECOS PAC ID: 6608095641 Enrollment ID: I20190115000289 |
Provider Name | Kenneth Silver |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1326078882 PECOS PAC ID: 1355316944 Enrollment ID: I20190715002086 |
Provider Name | Ashley Simone Maybin |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1942696174 PECOS PAC ID: 8426352808 Enrollment ID: I20190920000779 |
Provider Name | Irfan Mohammed Elahi |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1568855070 PECOS PAC ID: 3072949726 Enrollment ID: I20200129000608 |
Provider Name | Stephanie Van |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1225423395 PECOS PAC ID: 6305117599 Enrollment ID: I20211101001129 |
Provider Name | Brittany Adler |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1033478128 PECOS PAC ID: 1850617283 Enrollment ID: I20221010000380 |
Provider Name | Benjamin Miller |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1780119016 PECOS PAC ID: 5597167585 Enrollment ID: I20221214002482 |
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