| |
90 Painters Mill Rd Ste 205 Owings Mills MD 21117-3614 | |
(410) 356-1575 | |
(410) 363-6840 |
Full Name | |
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Speciality | Internal Medicine |
Location | 90 Painters Mill Rd Ste 205, Owings Mills, Maryland |
Authorized Official Name and Position | Pankaj Rohit Desai (PARTNER) |
Authorized Official Contact | 4103561575 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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90 Painters Mill Rd Ste 205 Owings Mills MD 21117-3614 Ph: (410) 356-1575 | 90 Painters Mill Rd Ste 205 Owings Mills MD 21117-3614 Ph: (410) 356-1575 |
NPI Number | 1659550630 |
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Provider Enumeration Date | 10/26/2007 |
Last Update Date | 06/17/2011 |
Medicare PECOS PAC ID | 7719025204 |
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Medicare Enrollment ID | O20091103000276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659550630 | NPI | - | NPPES |
270299 | Medicaid | MD | |
527921600 | Medicaid | MD | |
270301 | Medicaid | MD | |
365451600 | Medicaid | MD | |
089311100 | Medicaid | MD | |
157500700 | Medicaid | MD | |
270300 | Medicaid | MD |
Provider Name | Pankaj R Desai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194790105 PECOS PAC ID: 3678611167 Enrollment ID: I20100928000202 |
Provider Name | Sean B Holmes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689649683 PECOS PAC ID: 4486792975 Enrollment ID: I20110712000222 |
Baltimore Suburban Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10085 Red Run Blvd Ste 306, Owings Mills, MD 21117 Phone: 410-653-0000 Fax: 410-653-5531 | |
Lifebridge Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Crossroads Dr Ste 340, Owings Mills, MD 21117 Phone: 410-653-0366 Fax: 410-601-4759 | |
Ez Health Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Painters Mill Rd Ste 106, Owings Mills, MD 21117 Phone: 240-552-0267 | |
Kingdom Medicine Administrative Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Painters Mill Rd Ste 205, Owings Mills, MD 21117 Phone: 410-907-1565 Fax: 443-445-4111 | |
Camelle Redding, Crnp,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9902 Linden Hill Rd Ste B, Owings Mills, MD 21117 Phone: 443-776-2583 Fax: 347-851-8731 |