| Sibte A. Kazmi Md Llc | |
|
814 Toll House Ave Frederick MD 21701-4519 | |
| (301) 662-8310 | |
| (301) 662-1209 |
| Full Name | Sibte A. Kazmi Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 814 Toll House Ave, Frederick, Maryland |
| Authorized Official Name and Position | Sibte A Kazmi (PROPRIETOR) |
| Authorized Official Contact | 3016628310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sibte A. Kazmi Md Llc 814 Toll House Ave Frederick MD 21701-4519 Ph: (301) 662-8310 | Sibte A. Kazmi Md Llc 814 Toll House Ave Frederick MD 21701-4519 Ph: (301) 662-8310 |
| NPI Number | 1265530844 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/03/2007 |
| Medicare PECOS PAC ID | 4587819685 |
|---|---|
| Medicare Enrollment ID | O20130221000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265530844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0047951 (Maryland) | Primary |
| Provider Name | Sibte A Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861451361 PECOS PAC ID: 5193611887 Enrollment ID: I20040227000781 |
| Provider Name | Shirene Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932383288 PECOS PAC ID: 4385785971 Enrollment ID: I20100105000122 |
| Provider Name | Candice Korolevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497296271 PECOS PAC ID: 1456638477 Enrollment ID: I20170501000515 |
| Provider Name | Catherine Wambui Githaiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769643 PECOS PAC ID: 3779840111 Enrollment ID: I20171120003132 |
| Provider Name | Daniel Delauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801315288 PECOS PAC ID: 0345509048 Enrollment ID: I20180125000121 |
| Provider Name | Stacy Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194371344 PECOS PAC ID: 3274965165 Enrollment ID: I20191114001493 |
| Provider Name | Issa Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013546100 PECOS PAC ID: 5294143541 Enrollment ID: I20210426002134 |
| Provider Name | Ashley Naugler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053075655 PECOS PAC ID: 8123417862 Enrollment ID: I20211117003239 |
| Provider Name | Priya Premkumar Srinivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811445745 PECOS PAC ID: 9638458961 Enrollment ID: I20231024000957 |
| Provider Name | Ruby Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720853286 PECOS PAC ID: 5092164673 Enrollment ID: I20231207002047 |
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