Med-surg Care Pc | |
6620 Crain Highway La Plata MD 20646 | |
(301) 934-2299 | |
(301) 392-2119 |
Full Name | Med-surg Care Pc |
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Speciality | General Practice |
Location | 6620 Crain Highway, La Plata, Maryland |
Authorized Official Name and Position | Ibrahim R Mady (DR) |
Authorized Official Contact | 3018703200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Med-surg Care Pc 6620 Crain Highway Suite104 La Plata MD 20646 Ph: (301) 934-2299 | Med-surg Care Pc 6620 Crain Highway La Plata MD 20646 Ph: (301) 934-2299 |
NPI Number | 1568507945 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 04/10/2012 |
Medicare PECOS PAC ID | 2466612619 |
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Medicare Enrollment ID | O20120326000216 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568507945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Ghassan Hatoum |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730226440 PECOS PAC ID: 0244200038 Enrollment ID: I20120821000671 |
Provider Name | Ibrahim R Mady |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1629115332 PECOS PAC ID: 9436129228 Enrollment ID: I20180519000047 |
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