| |
2 W Rolling Crossroads Suite # 106 Baltimore MD 21228-6208 | |
(410) 455-9894 | |
(410) 455-9846 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2 W Rolling Crossroads, Baltimore, Maryland |
Authorized Official Name and Position | Kauser Fatima Khan (PRESIDENT) |
Authorized Official Contact | 4104559894 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2 W Rolling Crossroads Suite # 106 Baltimore MD 21228-6208 Ph: (410) 455-9894 | 2 W Rolling Crossroads Suite # 106 Baltimore MD 21228-6208 Ph: (410) 455-9894 |
NPI Number | 1144326042 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3870497688 |
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Medicare Enrollment ID | O20031124000195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144326042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kauser F Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457328627 PECOS PAC ID: 1254235070 Enrollment ID: I20041001000085 |
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