| |
1224 Chesaco Ave Baltimore MD 21237-2632 | |
(410) 391-3700 | |
(410) 391-4355 |
Full Name | |
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Speciality | Family Medicine |
Location | 1224 Chesaco Ave, Baltimore, Maryland |
Authorized Official Name and Position | Sohail M. Qarni (M.D.) |
Authorized Official Contact | 4103913700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1224 Chesaco Ave Baltimore MD 21237-2632 Ph: (410) 391-3700 | 1224 Chesaco Ave Baltimore MD 21237-2632 Ph: (410) 391-3700 |
NPI Number | 1750574356 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750574356 | NPI | - | NPPES |
0Q06SM | Other | MD | CAREFRIST MARYLAND |
R628 0001 | Other | DC | CAREFIRST DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0048025 (Maryland) | Primary |
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