| Gi Associates | |
|
3510 Old Washington Rd Ste 201 Waldorf MD 20602-3235 | |
| (301) 645-8035 | |
| (301) 645-5229 |
| Full Name | Gi Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3510 Old Washington Rd Ste 201, Waldorf, Maryland |
| Authorized Official Name and Position | Legina Michelle Gray (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3016458035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Associates 3510 Old Washington Rd Ste 201 Waldorf MD 20602-3235 Ph: (301) 645-8035 | Gi Associates 3510 Old Washington Rd Ste 201 Waldorf MD 20602-3235 Ph: (301) 645-8035 |
| NPI Number | 1164404125 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 7911079181 |
|---|---|
| Medicare Enrollment ID | O20080702000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164404125 | NPI | - | NPPES |
| 035197200 | Medicaid | DC | |
| 155700900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael S Ballo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780648550 PECOS PAC ID: 2163498239 Enrollment ID: I20040909000625 |
| Provider Name | Cuong Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326127770 PECOS PAC ID: 9638178205 Enrollment ID: I20061207000487 |
| Provider Name | Lornette B Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689673741 PECOS PAC ID: 1850463035 Enrollment ID: I20080703000085 |
| Provider Name | Khadar Baig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497754550 PECOS PAC ID: 0244317659 Enrollment ID: I20080703000152 |
| Provider Name | Gowri Kularatna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861682957 PECOS PAC ID: 4587751250 Enrollment ID: I20120309000549 |
| Provider Name | Nicholas M Szary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962505818 PECOS PAC ID: 7012187735 Enrollment ID: I20140702001603 |
| Provider Name | Mehmet Levent Guler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255839692 PECOS PAC ID: 2466715222 Enrollment ID: I20180410002018 |
| Provider Name | Daniel Crump |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750374955 PECOS PAC ID: 1153351366 Enrollment ID: I20200422000077 |
| Provider Name | Rufaat Mando |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205242591 PECOS PAC ID: 3072869262 Enrollment ID: I20210224000055 |
| Provider Name | Khadijat O Balogun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124310743 PECOS PAC ID: 9537431721 Enrollment ID: I20210914002333 |
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