| Charm City Healthcare, L.l.c. | |
|
223 Eastern Blvd Baltimore MD 21221-6936 | |
| (410) 687-8818 | |
| (410) 682-3989 |
| Full Name | Charm City Healthcare, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 223 Eastern Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Pankaj Kheterpal (OWNER) |
| Authorized Official Contact | 4103350008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charm City Healthcare, L.l.c. 26 Iron Mill Garth Cockeysville MD 21030-1386 Ph: (410) 335-0008 | Charm City Healthcare, L.l.c. 223 Eastern Blvd Baltimore MD 21221-6936 Ph: (410) 687-8818 |
| NPI Number | 1538345046 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 06/09/2015 |
| Medicare PECOS PAC ID | 0547320822 |
|---|---|
| Medicare Enrollment ID | O20081117000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538345046 | NPI | - | NPPES |
| 137523 | Other | MD | MEDICARE |
| 1538345046 | Other | TRICARE NORTH REGION | |
| 1026426040001 | Other | PA | MEDICAL ASSISTANCE |
| 1538345046 | Other | MD | BRAVO HEALTH |
| 30044355001 | Other | SC | HEALTH NET FEDERAL SERVICES - TRICARE |
| DO6030 | Other | GA | RAILROAD MEDICARE |
| 1538345046 | Other | VA | MEDICAL ASSISTANCE |
| 417399600 | Other | MD | MEDICAL ASSISTANCE |
| N681 | Other | DC | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pankaj Kheterpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801813746 PECOS PAC ID: 0143115956 Enrollment ID: I20040219000956 |
| Provider Name | Brian Seymore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851438345 PECOS PAC ID: 8527012483 Enrollment ID: I20051129001093 |
| Provider Name | Savinder K Julka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467470294 PECOS PAC ID: 6709956055 Enrollment ID: I20080529000668 |
| Provider Name | Charia L. Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720139587 PECOS PAC ID: 6709927510 Enrollment ID: I20091230000411 |
| Provider Name | Sharon Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750826038 PECOS PAC ID: 8224312509 Enrollment ID: I20170306001114 |
| Provider Name | Cristina S Sola-rotger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892674 PECOS PAC ID: 4789017252 Enrollment ID: I20191214000284 |
| Provider Name | Rosilin Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275112153 PECOS PAC ID: 9537543525 Enrollment ID: I20220824002745 |
| Provider Name | Wei Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609579465 PECOS PAC ID: 9537524566 Enrollment ID: I20230427000247 |
| Provider Name | Raina Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922782275 PECOS PAC ID: 6507229622 Enrollment ID: I20230823004179 |
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