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8600 Snowden River Pkwy Suite 301 Columbia MD 21045-1982 | |
(410) 312-4700 | |
(410) 312-0400 |
Full Name | |
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Speciality | Internal Medicine |
Location | 8600 Snowden River Pkwy, Columbia, Maryland |
Authorized Official Name and Position | Harry Li (DIRECTOR) |
Authorized Official Contact | 4103124700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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8600 Snowden River Pkwy Suite 301 Columbia MD 21045-1982 Ph: (410) 312-4700 | 8600 Snowden River Pkwy Suite 301 Columbia MD 21045-1982 Ph: (410) 312-4700 |
NPI Number | 1871634394 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 2062507502 |
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Medicare Enrollment ID | O20070928000527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871634394 | NPI | - | NPPES |
129373 | Other | MD | AETNA PPO |
129373 | Other | MD | AETNA HMO |
KCC1HA | Other | MD | BLUCECROSS OF MARYLAND |
F991 | Other | MD | BCBS FEP |
F991 | Other | MD | BCBS BLUECHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0056531 (Maryland) | Primary |
Provider Name | Harry Li |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487711552 PECOS PAC ID: 9537254081 Enrollment ID: I20110111000416 |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
University Of Maryland Physicians, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5890 Waterloo Rd, Columbia, MD 21045 Phone: 410-667-2142 Fax: 410-799-9097 | |