Lara Shodeinde, CRNA | |
6701 N Charles St, Towson, MD 21204-6881 | |
(443) 849-2000 | |
Not Available |
Full Name | Lara Shodeinde |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6701 N Charles St, Towson, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811770456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R224292 (Maryland) | Primary |
Entity Name | Anesthesia Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871548156 PECOS PAC ID: 4587559026 Enrollment ID: O20040216000401 |
Entity Name | Gbmc Hospital Based Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730824400 PECOS PAC ID: 6002299369 Enrollment ID: O20220818002500 |
Mailing Address | Practice Location Address |
---|---|
Lara Shodeinde, CRNA 837 W 34th St, Baltimore, MD 21211-2502 Ph: (347) 306-2349 | Lara Shodeinde, CRNA 6701 N Charles St, Towson, MD 21204-6881 Ph: (443) 849-2000 |
Monika Harold, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 443-849-3880 | |
Terri Bonsall, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 | |
Rita Kesselman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-4501 | |
Tim Ngoc Dinh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St Ste 4226, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 | |
Thomas Curry, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 | |
Barbara Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1122 Kenilworth Dr, Suite 317, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 | |
Francis Equale, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 |