Eveit E Gobrial Md Llc | |
2 E Rolling Crossroads Ste 56 Catonsville MD 21228-6211 | |
(410) 747-4272 | |
(410) 747-4918 |
Full Name | Eveit E Gobrial Md Llc |
---|---|
Speciality | Family Medicine |
Location | 2 E Rolling Crossroads, Catonsville, Maryland |
Authorized Official Name and Position | Robert Laurence Herrmann (BILLING AGENT) |
Authorized Official Contact | 4108821440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eveit E Gobrial Md Llc 2 E Rolling Crossroads Ste 56 Catonsville MD 21228-6211 Ph: (410) 747-4272 | Eveit E Gobrial Md Llc 2 E Rolling Crossroads Ste 56 Catonsville MD 21228-6211 Ph: (410) 747-4272 |
NPI Number | 1427231745 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 07/22/2013 |
Medicare PECOS PAC ID | 2668431701 |
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Medicare Enrollment ID | O20041005001030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427231745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D51872 (Maryland) | Primary |
Provider Name | Eveit E Gobrial |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790739910 PECOS PAC ID: 8820060924 Enrollment ID: I20040810000238 |
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