Chesapeake Primary Care Group Pa | |
4304 Mountain Rd Pasadena MD 21122-4520 | |
(410) 360-2400 | |
(410) 439-3342 |
Full Name | Chesapeake Primary Care Group Pa |
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Speciality | Internal Medicine |
Location | 4304 Mountain Rd, Pasadena, Maryland |
Authorized Official Name and Position | Pradeep Garg (PRESIDENT) |
Authorized Official Contact | 4103602400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chesapeake Primary Care Group Pa 14650 Viburnum Dr Dayton MD 21036-1246 Ph: (410) 360-2400 | Chesapeake Primary Care Group Pa 4304 Mountain Rd Pasadena MD 21122-4520 Ph: (410) 360-2400 |
NPI Number | 1609989730 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 05/06/2011 |
Medicare PECOS PAC ID | 5890982391 |
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Medicare Enrollment ID | O20101209000972 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609989730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D31322 (Maryland) | Primary |
Provider Name | Pradeep Garg |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952376469 PECOS PAC ID: 6800083304 Enrollment ID: I20101209000957 |
Provider Name | Akash Garg |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033671615 PECOS PAC ID: 5496130221 Enrollment ID: I20220915000735 |
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