| Vitae Health Medical Maryland Llc | |
|
7 Saint Paul St Ste 820 Baltimore MD 21202-1681 | |
| (224) 777-8034 | |
| (224) 236-4900 |
| Full Name | Vitae Health Medical Maryland Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7 Saint Paul St Ste 820, Baltimore, Maryland |
| Authorized Official Name and Position | Amish M Patel (PRESIDENT) |
| Authorized Official Contact | 2247778034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Medical Maryland Llc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (224) 777-8034 | Vitae Health Medical Maryland Llc 7 Saint Paul St Ste 820 Baltimore MD 21202-1681 Ph: (224) 777-8034 |
| NPI Number | 1619596210 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Medicare PECOS PAC ID | 2567892805 |
|---|---|
| Medicare Enrollment ID | O20200428001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619596210 | NPI | - | NPPES |
| Provider Name | Jeanne Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295989051 PECOS PAC ID: 6800944612 Enrollment ID: I20190423001336 |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200413002722 |
| Provider Name | Quiebonnie M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124652284 PECOS PAC ID: 5092146720 Enrollment ID: I20200514000039 |
| Provider Name | Wildora Saccoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639700321 PECOS PAC ID: 3072936145 Enrollment ID: I20200708000506 |
| Provider Name | Nakisha Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805551 PECOS PAC ID: 4385976836 Enrollment ID: I20201223000973 |
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