Anne Arundel Rheumatology, Llc | |
1655 Crofton Blvd Suite 101 Crofton MD 21114-1342 | |
(443) 292-4872 | |
(443) 292-4892 |
Full Name | Anne Arundel Rheumatology, Llc |
---|---|
Speciality | Internal Medicine |
Location | 1655 Crofton Blvd, Crofton, Maryland |
Authorized Official Name and Position | Ashu P Mehta (PHYSICIAN, OWNER) |
Authorized Official Contact | 4432924872 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anne Arundel Rheumatology, Llc Po Box 37168 Baltimore MD 21297-3168 Ph: (443) 292-4872 | Anne Arundel Rheumatology, Llc 1655 Crofton Blvd Suite 101 Crofton MD 21114-1342 Ph: (443) 292-4872 |
NPI Number | 1881664290 |
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Provider Enumeration Date | 01/26/2006 |
Last Update Date | 05/03/2010 |
Medicare PECOS PAC ID | 5092735167 |
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Medicare Enrollment ID | O20051205000187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881664290 | NPI | - | NPPES |
DD0563 | Other | RR MEDICARE | |
409668100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RR0500X | Internal Medicine - Rheumatology | D0060213 (Maryland) | Primary |
Provider Name | Ashu P Mehta |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1669471348 PECOS PAC ID: 6800848755 Enrollment ID: I20050218000412 |
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