| Eastern Shore Internist Llc | |
|
5484 Dunfries Ct Salisbury MD 21801-2474 | |
| (202) 352-5613 | |
| Not Available |
| Full Name | Eastern Shore Internist Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5484 Dunfries Ct, Salisbury, Maryland |
| Authorized Official Name and Position | Shahabuddin Soherwardi (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2023525613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Shore Internist Llc 5484 Dunfries Ct Salisbury MD 21801-2474 Ph: (202) 352-5613 | Eastern Shore Internist Llc 5484 Dunfries Ct Salisbury MD 21801-2474 Ph: (202) 352-5613 |
| NPI Number | 1508682576 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 6709313893 |
|---|---|
| Medicare Enrollment ID | O20250101000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508682576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shahabuddin Soherwardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548646383 PECOS PAC ID: 7416246228 Enrollment ID: I20180521001373 |
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