| Bel Air Family Care Llc | |
|
2014 S Tollgate Rd Ste 211-212 Bel Air MD 21015-5903 | |
| (410) 670-9200 | |
| (410) 670-9201 |
| Full Name | Bel Air Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2014 S Tollgate Rd Ste 211-212, Bel Air, Maryland |
| Authorized Official Name and Position | Yuvraj Kamboj (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4106709200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bel Air Family Care Llc 918 Sidehill Dr Bel Air MD 21015-6364 Ph: (410) 670-9200 | Bel Air Family Care Llc 2014 S Tollgate Rd Ste 211-212 Bel Air MD 21015-5903 Ph: (410) 670-9200 |
| NPI Number | 1063923886 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 01/19/2018 |
| Medicare PECOS PAC ID | 3779843339 |
|---|---|
| Medicare Enrollment ID | O20180131000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063923886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maryland) | Primary |
| Provider Name | Yuvraj Kamboj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528237930 PECOS PAC ID: 4284821687 Enrollment ID: I20120629000394 |
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