Ev Healthcare, Llc | |
1045 Taylor Ave Ste 210 Towson MD 21286-8331 | |
(443) 261-6130 | |
(410) 946-1925 |
Full Name | Ev Healthcare, Llc |
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Speciality | Clinic/Center |
Location | 1045 Taylor Ave Ste 210, Towson, Maryland |
Authorized Official Name and Position | Tamar Avatar Adolemaiu-bey (MEDICAL DIRECTOR/PCP) |
Authorized Official Contact | 4432169779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ev Healthcare, Llc 1045 Taylor Ave Ste 210 Towson MD 21286-8331 Ph: (443) 261-6130 | Ev Healthcare, Llc 1045 Taylor Ave Ste 210 Towson MD 21286-8331 Ph: (443) 261-6130 |
NPI Number | 1689118291 |
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Provider Enumeration Date | 12/15/2016 |
Last Update Date | 09/26/2019 |
Medicare PECOS PAC ID | 2567744600 |
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Medicare Enrollment ID | O20170125000054 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689118291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | R165813 (Maryland) | Primary |
Provider Name | Tamar Avatar Adolemaiu Bey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619127420 PECOS PAC ID: 9931355765 Enrollment ID: I20120810000456 |
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