Camille Y Khawand Pa | |
105 Pine Bluff Rd Suite 7a Salisbury MD 21801-7160 | |
(410) 749-8370 | |
(410) 749-8910 |
Full Name | Camille Y Khawand Pa |
---|---|
Speciality | Internal Medicine |
Location | 105 Pine Bluff Rd, Salisbury, Maryland |
Authorized Official Name and Position | Camille Y Khawand (OWNER) |
Authorized Official Contact | 4107498370 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Camille Y Khawand Pa 105 Pine Bluff Rd Suite 7a Salisbury MD 21801-7160 Ph: (410) 749-8370 | Camille Y Khawand Pa 105 Pine Bluff Rd Suite 7a Salisbury MD 21801-7160 Ph: (410) 749-8370 |
NPI Number | 1538121363 |
---|---|
Provider Enumeration Date | 04/05/2006 |
Last Update Date | 04/01/2008 |
Medicare PECOS PAC ID | 3476575135 |
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Medicare Enrollment ID | O20051221000736 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538121363 | NPI | - | NPPES |
254QCA | Other | MD | BCBS MD |
G2250001 | Other | DC | BCBS DC |
0001142701 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | D0053452 (Maryland) | Primary |
Provider Name | Camille Y Khawand |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1922088566 PECOS PAC ID: 6709808470 Enrollment ID: I20060317000112 |
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