| Rae Healthcare Llc | |
|
5070 Winesap Way Ellicott City MD 21043-7184 | |
| (301) 257-5489 | |
| (410) 988-2633 |
| Full Name | Rae Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5070 Winesap Way, Ellicott City, Maryland |
| Authorized Official Name and Position | Jagdeep Singh (PRESIDENT & FOUNDER) |
| Authorized Official Contact | 5204319777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rae Healthcare Llc 5070 Winesap Way Ellicott City MD 21043-7184 Ph: (301) 257-5489 | Rae Healthcare Llc 5070 Winesap Way Ellicott City MD 21043-7184 Ph: (301) 257-5489 |
| NPI Number | 1376982173 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 07/16/2020 |
| Medicare PECOS PAC ID | 7719120757 |
|---|---|
| Medicare Enrollment ID | O20130823000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376982173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0069796 (Maryland) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jagdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437195682 PECOS PAC ID: 0042210965 Enrollment ID: I20100311000487 |
| Provider Name | Oleksandr Semeniuk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528452794 PECOS PAC ID: 5092061747 Enrollment ID: I20180710003649 |
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