| South River Pediatrics | |
|
224 Mayo Rd Edgewater MD 21037-2951 | |
| (410) 956-6303 | |
| (410) 956-6637 |
| Full Name | South River Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 224 Mayo Rd, Edgewater, Maryland |
| Authorized Official Name and Position | Azam Baig (OWNER PRESIDENT) |
| Authorized Official Contact | 4109566303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Pediatrics 224 Mayo Rd Edgewater MD 21037-2951 Ph: (410) 956-6303 | South River Pediatrics 224 Mayo Rd Edgewater MD 21037-2951 Ph: (410) 956-6303 |
| NPI Number | 1124123716 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124123716 | NPI | - | NPPES |
| 181521100 | Medicaid | MD | |
| 0453912 | Other | MD | AETNA |
| C023 | Other | MD | CAPTIAL CARE/BLUE CHOICE |
| 0701078005 | Other | MD | CIGNA |
| 2653A | Other | MH | BLUE CROSS/BLUE SHIELD |
| 88981 | Other | MD | MAMSI |
| 04531 | Other | MD | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0020882 (Maryland) | Primary |
Jhcp - 137 Mitchell's Chance Road Ste 180 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Mitchell's Chance Road Ste 180, Edgewater, MD 21037 Phone: 410-933-6423 | |
South River Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3168 Braverton St, Suite 330, Edgewater, MD 21037 Phone: 410-956-7830 Fax: 410-956-7832 | |
Mdics Rehabilitative Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Washington Rd, Edgewater, MD 21037 Phone: 410-956-5000 | |
Nadia Akhmed Md Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St, 330, Edgewater, MD 21037 Phone: 410-956-3090 Fax: 410-956-3063 | |
South River Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St Ste 302, Edgewater, MD 21037 Phone: 410-353-1616 | |
South River Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3169 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4911 Fax: 410-956-4935 |