Shastine Abate Md Pa | |
7004 Security Blvd Ste 101 Baltimore MD 21244-2557 | |
(410) 277-3490 | |
(410) 277-4823 |
Full Name | Shastine Abate Md Pa |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 7004 Security Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Shastine Abate (MD/PRESIDENT) |
Authorized Official Contact | 4102773490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shastine Abate Md Pa 7004 Security Blvd Ste 101 Baltimore MD 21244-2557 Ph: (410) 277-3490 | Shastine Abate Md Pa 7004 Security Blvd Ste 101 Baltimore MD 21244-2557 Ph: (410) 277-3490 |
NPI Number | 1972783926 |
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Provider Enumeration Date | 11/07/2007 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972783926 | NPI | - | NPPES |
M41040 | Other | MD | CDS |
D50296 | Other | MD | MD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | D50296 (Maryland) | Primary |
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