Chimax Medical Center, Llc | |
1232 Race Rd Ste 401 Rosedale MD 21237-2386 | |
(410) 686-3931 | |
(410) 881-4572 |
Full Name | Chimax Medical Center, Llc |
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Speciality | Clinic/Center |
Location | 1232 Race Rd Ste 401, Rosedale, Maryland |
Authorized Official Name and Position | Chienyenwa Eke Nwachinemere (PROVIDER) |
Authorized Official Contact | 4106863931 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chimax Medical Center, Llc 1232 Race Rd Ste 401 Rosedale MD 21237-2386 Ph: (410) 686-3931 | Chimax Medical Center, Llc 1232 Race Rd Ste 401 Rosedale MD 21237-2386 Ph: (410) 686-3931 |
NPI Number | 1093984163 |
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Provider Enumeration Date | 02/22/2008 |
Last Update Date | 11/11/2021 |
Medicare PECOS PAC ID | 1951470632 |
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Medicare Enrollment ID | O20080521000306 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093984163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | D0063176 (Maryland) | Primary |
Provider Name | Chienyenwa E Nwachinemere |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316905227 PECOS PAC ID: 5395778203 Enrollment ID: I20050912001196 |
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