| Mek Medical Staffing & Services Inc | |
|
11890 Healing Way Silver Spring MD 20904-7917 | |
| (443) 964-5950 | |
| Not Available |
| Full Name | Mek Medical Staffing & Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11890 Healing Way, Silver Spring, Maryland |
| Authorized Official Name and Position | Elias K Mamo (PHYSICIAN) |
| Authorized Official Contact | 3015525696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mek Medical Staffing & Services Inc 13339 Moonlight Trail Dr Silver Spring MD 20906-6700 Ph: (443) 964-5950 | Mek Medical Staffing & Services Inc 11890 Healing Way Silver Spring MD 20904-7917 Ph: (443) 964-5950 |
| NPI Number | 1609001536 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 07/14/2021 |
| Medicare PECOS PAC ID | 1658425962 |
|---|---|
| Medicare Enrollment ID | O20090821000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609001536 | NPI | - | NPPES |
| 061523800 | Medicaid | DC | |
| 92199401 | Other | MD | BLUE CROSS BLUE SHIELD |
| U4560001 | Other | DC | BLUE CROSS BLUE SHIELD |
| 414132600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | D0064866 (Maine) | Primary |
| Provider Name | Elias K Mamo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881800332 PECOS PAC ID: 3870671050 Enrollment ID: I20080429000476 |
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