| Eren And Atluri, Mds,llc | |
|
8109 Ritchie Hwy Pasadena MD 21122-6917 | |
| (410) 768-3936 | |
| (410) 766-6683 |
| Full Name | Eren And Atluri, Mds,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8109 Ritchie Hwy, Pasadena, Maryland |
| Authorized Official Name and Position | Sridhar Atluri (PARTNER) |
| Authorized Official Contact | 8007995916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eren And Atluri, Mds,llc Po Box 96 Glen Burnie MD 21060-0096 Ph: (800) 799-5916 | Eren And Atluri, Mds,llc 8109 Ritchie Hwy Pasadena MD 21122-6917 Ph: (410) 768-3936 |
| NPI Number | 1659491561 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/21/2010 |
| Medicare PECOS PAC ID | 4880651694 |
|---|---|
| Medicare Enrollment ID | O20041214000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659491561 | NPI | - | NPPES |
| 920900000 | Medicaid | MD | |
| 244700200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sridhar Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073616397 PECOS PAC ID: 6901798040 Enrollment ID: I20040325000733 |
| Provider Name | Fer Eren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497854376 PECOS PAC ID: 5496746919 Enrollment ID: I20040521001046 |
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