| Bhawna Bahethi, Md Llc | |
|
1600 Crain Hwy S Ste 501 Glen Burnie MD 21061-5577 | |
| (410) 766-8911 | |
| (410) 766-8977 |
| Full Name | Bhawna Bahethi, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Crain Hwy S, Glen Burnie, Maryland |
| Authorized Official Name and Position | Bhawna Bahethi (ADMIN) |
| Authorized Official Contact | 4107668911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhawna Bahethi, Md Llc 1600 Crain Hwy S Ste 501 Glen Burnie MD 21061-5577 Ph: (410) 766-8911 | Bhawna Bahethi, Md Llc 1600 Crain Hwy S Ste 501 Glen Burnie MD 21061-5577 Ph: (410) 766-8911 |
| NPI Number | 1457685380 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 2163561879 |
|---|---|
| Medicare Enrollment ID | O20091209000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457685380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0051325 (Maryland) | Primary |
| Provider Name | Bhawna R Bahethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629150586 PECOS PAC ID: 7113993361 Enrollment ID: I20040908001394 |
| Provider Name | Courtney Keegan Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196024 PECOS PAC ID: 4385985696 Enrollment ID: I20190416000228 |
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Gelsimo A. Cruz, M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Hospital Drive, Suite 230, Glen Burnie, MD 21061 Phone: 410-768-2700 Fax: 410-768-2701 | |
Horizon Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Suite 105, Glen Burnie, MD 21061 Phone: 410-650-4100 Fax: 877-648-1188 | |
Dr. Bamba's Health And Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1406b Crain Hwy S Ste 308, Glen Burnie, MD 21061 Phone: 443-953-8255 | |
Maryland Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7711 Quarterfield Rd Ste A, Glen Burnie, MD 21061 Phone: 410-761-5600 Fax: 410-761-5734 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Hospital Dr Ste 107, Glen Burnie, MD 21061 Phone: 410-553-8300 |