| None | |
|
9831 Greenbelt Rd Suite 104 Lanham MD 20706-2202 | |
| (301) 552-3884 | |
| (301) 552-4456 |
| Full Name | None |
|---|---|
| Speciality | Internal Medicine |
| Location | 9831 Greenbelt Rd, Lanham, Maryland |
| Authorized Official Name and Position | Karamjit Kaur (PRESIDENT) |
| Authorized Official Contact | 3015523884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| None 9831 Greenbelt Rd Suite 104 Lanham MD 20706-2202 Ph: (301) 552-3884 | None 9831 Greenbelt Rd Suite 104 Lanham MD 20706-2202 Ph: (301) 552-3884 |
| NPI Number | 1285712422 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 6901908722 |
|---|---|
| Medicare Enrollment ID | O20070226000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285712422 | NPI | - | NPPES |
| 599004100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D50323 (Maryland) | Primary |
| Provider Name | Karamjit Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841394012 PECOS PAC ID: 3971627837 Enrollment ID: I20100830000036 |
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