Imanoel Enterprise, Inc | |
218 Washington Heights Med Ctr Westminster MD 21157-5633 | |
(410) 751-5830 | |
(410) 751-7450 |
Full Name | Imanoel Enterprise, Inc |
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Speciality | Internal Medicine |
Location | 218 Washington Heights Med Ctr, Westminster, Maryland |
Authorized Official Name and Position | Babak Imanoel (OWNER/DOCTOR) |
Authorized Official Contact | 4107515830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Imanoel Enterprise, Inc 9115 Field Rd Baltimore MD 21208-1003 Ph: (410) 751-5830 | Imanoel Enterprise, Inc 218 Washington Heights Med Ctr Westminster MD 21157-5633 Ph: (410) 751-5830 |
NPI Number | 1407045743 |
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Provider Enumeration Date | 10/23/2007 |
Last Update Date | 10/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407045743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | H53939 (Maryland) | Primary |
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