| Donelson & Carnell Md Pa | |
|
65 Thomas Johnson Dr Ste C Frederick MD 21702-4371 | |
| (301) 663-3836 | |
| (301) 663-0122 |
| Full Name | Donelson & Carnell Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 Thomas Johnson Dr Ste C, Frederick, Maryland |
| Authorized Official Name and Position | Andrew Oliver Donelson (PARTNER PHYSICIAN) |
| Authorized Official Contact | 3016633836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donelson & Carnell Md Pa 65 Thomas Johnson Dr Ste C Frederick MD 21702-4371 Ph: (301) 663-3836 | Donelson & Carnell Md Pa 65 Thomas Johnson Dr Ste C Frederick MD 21702-4371 Ph: (301) 663-3836 |
| NPI Number | 1760590111 |
|---|---|
| Provider Enumeration Date | 08/27/2006 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 4789712035 |
|---|---|
| Medicare Enrollment ID | O20100507000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760590111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Regina Kundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376546994 PECOS PAC ID: 3870573405 Enrollment ID: I20040723000053 |
| Provider Name | Hemen Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821002601 PECOS PAC ID: 2466487897 Enrollment ID: I20051031000335 |
| Provider Name | Hirenkumar N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093742801 PECOS PAC ID: 4082617691 Enrollment ID: I20060822000309 |
| Provider Name | Majd Hakim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598871378 PECOS PAC ID: 5395873640 Enrollment ID: I20101023000100 |
| Provider Name | Andrew Oliver Donelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518996495 PECOS PAC ID: 3476681727 Enrollment ID: I20110602000691 |
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