| Internist Medical Group | |
|
625 Kent Ave Ste 204 Cumberland MD 21502-3799 | |
| (301) 777-7300 | |
| (301) 777-4000 |
| Full Name | Internist Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Kent Ave Ste 204, Cumberland, Maryland |
| Authorized Official Name and Position | Shakil M Rahman (BUSINESS MANAGER) |
| Authorized Official Contact | 3017777300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internist Medical Group 625 Kent Ave, Suite 204 Cumberland MD 21502-3799 Ph: (301) 777-7300 | Internist Medical Group 625 Kent Ave Ste 204 Cumberland MD 21502-3799 Ph: (301) 777-7300 |
| NPI Number | 1518148295 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 3971675190 |
|---|---|
| Medicare Enrollment ID | O20080703000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518148295 | NPI | - | NPPES |
| FH56H | Other | MD | BCBS-NEW |
| R9110001 | Other | MD | FED BCSB & BLUE CHOICE |
| P18192 | Other | MD | BCBS POS-NEW |
| 236826 | Other | MD | ALLIANCE |
| 836826 | Other | MD | MDIPA |
| 149631000 | Medicaid | MD | |
| 53295001 | Other | MD | BCBS |
| M672 | Other | MD | BCBS-FED & BLUE CHOICE-NEW |
| P11632 | Other | MD | BCBS POS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Huma Shakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790857688 PECOS PAC ID: 1355395922 Enrollment ID: I20050307000296 |
| Provider Name | Jessica Rhae Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093212094 PECOS PAC ID: 2668727413 Enrollment ID: I20190424000156 |
Vik Poonai M D Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 924 Seton Dr, Cumberland, MD 21502 Phone: 301-777-5458 Fax: 301-777-5459 | |
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