| |
2024 E Monument St Baltimore MD 21287-0028 | |
(410) 837-4181 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 2024 E Monument 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 |
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Po Box 64264 Baltimore MD 21264-4264 Ph: (410) 933-6423 | 2024 E Monument St Baltimore MD 21287-0028 Ph: (410) 837-4181 |
NPI Number | 1104300334 |
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Provider Enumeration Date | 09/24/2018 |
Last Update Date | 03/31/2023 |
Medicare PECOS PAC ID | 4981745098 |
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Medicare Enrollment ID | O20181022001277 |
Identifier | Type | State | Issuer |
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1104300334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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