| Jhu -medicine/endocrinology | |
|
600 N Wolfe St Baltimore MD 21287-0005 | |
| (410) 558-5238 | |
| Not Available |
| Full Name | Jhu -medicine/endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu -medicine/endocrinology Po Box 64264 Baltimore MD 21264-4264 Ph: (410) 558-5238 | Jhu -medicine/endocrinology 600 N Wolfe St Baltimore MD 21287-0005 Ph: (410) 558-5238 |
| NPI Number | 1679560643 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4981745098 |
|---|---|
| Medicare Enrollment ID | O20131112001627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679560643 | NPI | - | NPPES |
| 766481800 | Medicaid | MD | |
| 091505100 | Medicaid | DC | |
| CD2563 | Other | MD | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Maryland) | Primary |
| Provider Name | Mihail Zilbermint |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083943716 PECOS PAC ID: 4385888288 Enrollment ID: I20130916000238 |
| Provider Name | Caitlin Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356923577 PECOS PAC ID: 3375942154 Enrollment ID: I20210527001137 |
| Provider Name | Diana Pabon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629782495 PECOS PAC ID: 3375918600 Enrollment ID: I20230505000063 |
| Provider Name | Sangeetha Subramanian |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720721533 PECOS PAC ID: 1658731708 Enrollment ID: I20231108000458 |
| Provider Name | Candace Cooper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326701517 PECOS PAC ID: 1052705696 Enrollment ID: I20231129003745 |
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