| Diaa Y. Mikhail, M.d., P.a. | |
|
1105 N Point Blvd Suite 708 Baltimore MD 21224-3419 | |
| (410) 288-5901 | |
| (410) 288-5904 |
| Full Name | Diaa Y. Mikhail, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1105 N Point Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Diaa Y. Mikhail (PRESIDENT) |
| Authorized Official Contact | 4102885901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diaa Y. Mikhail, M.d., P.a. 1105 N Point Blvd Suite 708 Baltimore MD 21224-3419 Ph: (410) 288-5901 | Diaa Y. Mikhail, M.d., P.a. 1105 N Point Blvd Suite 708 Baltimore MD 21224-3419 Ph: (410) 288-5901 |
| NPI Number | 1316979636 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 6507043239 |
|---|---|
| Medicare Enrollment ID | O20110607000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316979636 | NPI | - | NPPES |
| DG2297 | Other | GA | RAILROAD MEDICARE |
| KAV9DI | Other | MD | CAREFIRST |
| 199301100 | Other | MD | MEDICAL ASSISTANCE |
| 271M | Other | MD | MEDICARE |
| S344 0001 | Other | DC | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diaa Mikhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558391227 PECOS PAC ID: 5294912929 Enrollment ID: I20110607000388 |
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