| Wellcare Medical Clinic Llc | |
|
1438 Defense Hwy Ste 102 Gambrills MD 21054-2021 | |
| (443) 875-3766 | |
| Not Available |
| Full Name | Wellcare Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1438 Defense Hwy Ste 102, Gambrills, Maryland |
| Authorized Official Name and Position | Sadia Cheema (PROVIDER) |
| Authorized Official Contact | 4438753766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcare Medical Clinic Llc 1438 Defense Hwy Ste 102 Gambrills MD 21054-2021 Ph: (443) 875-3766 | Wellcare Medical Clinic Llc 1438 Defense Hwy Ste 102 Gambrills MD 21054-2021 Ph: (443) 875-3766 |
| NPI Number | 1528794401 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528794401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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