| Shore Hospitalists Associates P.a. | |
|
219 S Washington St Easton MD 21601-2913 | |
| (410) 310-6245 | |
| (410) 822-9685 |
| Full Name | Shore Hospitalists Associates P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 219 S Washington St, Easton, Maryland |
| Authorized Official Name and Position | Dennis Michael De Shields (PRESIDENT) |
| Authorized Official Contact | 4103106245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Hospitalists Associates P.a. 7651 Woodland Dr Easton MD 21601-8141 Ph: (410) 310-6245 | Shore Hospitalists Associates P.a. 219 S Washington St Easton MD 21601-2913 Ph: (410) 310-6245 |
| NPI Number | 1508983362 |
|---|---|
| Provider Enumeration Date | 03/24/2007 |
| Last Update Date | 09/04/2009 |
| Medicare PECOS PAC ID | 3072597293 |
|---|---|
| Medicare Enrollment ID | O20040615001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508983362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis Deshields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821188970 PECOS PAC ID: 4880678010 Enrollment ID: I20040616001195 |
| Provider Name | Rosa I Mateo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689612509 PECOS PAC ID: 0941213102 Enrollment ID: I20060711000330 |
| Provider Name | Ramesh Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952510091 PECOS PAC ID: 4981790714 Enrollment ID: I20071010000049 |
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