Lanham Internal Medicine Associates, Llc | |
9470 Annapolis Rd Suite 306 Lanham MD 20706-3025 | |
(301) 459-1691 | |
(301) 577-2473 |
Full Name | Lanham Internal Medicine Associates, Llc |
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Speciality | Internal Medicine |
Location | 9470 Annapolis Rd, Lanham, Maryland |
Authorized Official Name and Position | Rexford Babilah (OWNER) |
Authorized Official Contact | 3014591691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lanham Internal Medicine Associates, Llc 9470 Annapolis Rd Suite 306 Lanham MD 20706-3025 Ph: (301) 459-1691 | Lanham Internal Medicine Associates, Llc 9470 Annapolis Rd Suite 306 Lanham MD 20706-3025 Ph: (301) 459-1691 |
NPI Number | 1053633768 |
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Provider Enumeration Date | 02/22/2010 |
Last Update Date | 01/20/2012 |
Medicare PECOS PAC ID | 8820133390 |
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Medicare Enrollment ID | O20100309000055 |
Identifier | Type | State | Issuer |
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1053633768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | D66658 (Maryland) | Primary |
Provider Name | Rexford A Babilah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689869968 PECOS PAC ID: 3577619188 Enrollment ID: I20090923000689 |
Provider Name | Sia Saffa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518355981 PECOS PAC ID: 8426359316 Enrollment ID: I20151218000321 |
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