| Daniel R. Howard, Md. Pa | |
|
405 N Paca St First Floor Baltimore MD 21201-1815 | |
| (410) 779-9609 | |
| (443) 552-4758 |
| Full Name | Daniel R. Howard, Md. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 405 N Paca St, Baltimore, Maryland |
| Authorized Official Name and Position | Daniel Ray Howard (PRESIDENT) |
| Authorized Official Contact | 4107799609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel R. Howard, Md. Pa 1714 Eutaw Pl Suite 2a Baltimore MD 21217-3730 Ph: (410) 779-9609 | Daniel R. Howard, Md. Pa 405 N Paca St First Floor Baltimore MD 21201-1815 Ph: (410) 779-9609 |
| NPI Number | 1962604991 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 0042220923 |
|---|---|
| Medicare Enrollment ID | O20060424000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962604991 | NPI | - | NPPES |
| 0H51DA | Other | MD | BCBS MD |
| 413640300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0043386 (Maryland) | Primary |
| Provider Name | Lavon M Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598871386 PECOS PAC ID: 6204893027 Enrollment ID: I20041221000717 |
| Provider Name | Padmini E Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477738557 PECOS PAC ID: 0042389348 Enrollment ID: I20080513000113 |
| Provider Name | Daniel Ray Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497793673 PECOS PAC ID: 6305856287 Enrollment ID: I20120220000377 |
| Provider Name | Olatunji I Iberu-olushoga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104497841 PECOS PAC ID: 6507255155 Enrollment ID: I20220217001814 |
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