| Southern Maryland Medical Group Llc | |
|
7500 Greenway Center Dr Ste 1200 Greenbelt MD 20770-3556 | |
| (301) 486-7580 | |
| Not Available |
| Full Name | Southern Maryland Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7500 Greenway Center Dr Ste 1200, Greenbelt, Maryland |
| Authorized Official Name and Position | Girish Sadashiva Rao (MANAGING PHYSICIAN) |
| Authorized Official Contact | 3015521200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maryland Medical Group Llc 8116 Good Luck Rd Ste 305 Lanham MD 20706-3508 Ph: (301) 552-1200 | Southern Maryland Medical Group Llc 7500 Greenway Center Dr Ste 1200 Greenbelt MD 20770-3556 Ph: (301) 486-7580 |
| NPI Number | 1942448113 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 5395893655 |
|---|---|
| Medicare Enrollment ID | O20090427000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942448113 | NPI | - | NPPES |
| Provider Name | Cecil Donald George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245311000 PECOS PAC ID: 0547229551 Enrollment ID: I20041006000336 |
| Provider Name | Salman S Mufti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649205683 PECOS PAC ID: 0345211025 Enrollment ID: I20041012000260 |
| Provider Name | Maria L Restrepo Calis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841389111 PECOS PAC ID: 3870550478 Enrollment ID: I20041215000647 |
| Provider Name | Uma Polam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740241207 PECOS PAC ID: 0042232571 Enrollment ID: I20051228000280 |
| Provider Name | Fredisia C Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275561870 PECOS PAC ID: 1658394887 Enrollment ID: I20060113000078 |
| Provider Name | Feremusu Nadia Kamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154319119 PECOS PAC ID: 6901836089 Enrollment ID: I20071026000209 |
| Provider Name | Aroor S Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588644066 PECOS PAC ID: 5991603532 Enrollment ID: I20090427000276 |
| Provider Name | Paul P Panavelil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730192998 PECOS PAC ID: 8527193598 Enrollment ID: I20100316000337 |
| Provider Name | Laxmi N Berwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215937776 PECOS PAC ID: 7214119056 Enrollment ID: I20110315000694 |
| Provider Name | Michael J Berard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366459877 PECOS PAC ID: 8628255395 Enrollment ID: I20110606000491 |
| Provider Name | Karl S Salman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306844840 PECOS PAC ID: 9830224997 Enrollment ID: I20120627000318 |
| Provider Name | Michelle Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235473703 PECOS PAC ID: 7113168444 Enrollment ID: I20130729000467 |
| Provider Name | Prashanth S Rao |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841462694 PECOS PAC ID: 2961621446 Enrollment ID: I20140916000127 |
| Provider Name | Girish S Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114335064 PECOS PAC ID: 0749597284 Enrollment ID: I20150916002423 |
| Provider Name | Vineet Venugopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124211560 PECOS PAC ID: 4789861378 Enrollment ID: I20180322001956 |
| Provider Name | Alessandra Cantone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033464979 PECOS PAC ID: 4082926282 Enrollment ID: I20180802000375 |
| Provider Name | Dwayne Christopher Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518294016 PECOS PAC ID: 7719124767 Enrollment ID: I20190219000756 |
| Provider Name | Namita R Pansare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043575426 PECOS PAC ID: 5991035008 Enrollment ID: I20191002001552 |
| Provider Name | Constance Morfaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942562848 PECOS PAC ID: 4385064740 Enrollment ID: I20201023001336 |
| Provider Name | Rabiatu Bundu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629683503 PECOS PAC ID: 0648683847 Enrollment ID: I20210107001377 |
| Provider Name | Craig Lamar Cheeks Washington |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043731946 PECOS PAC ID: 9638586647 Enrollment ID: I20210318000326 |
| Provider Name | Whitley Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679968101 PECOS PAC ID: 0345593646 Enrollment ID: I20220216001645 |
| Provider Name | Aryanka Hosbetkar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063869618 PECOS PAC ID: 0840678280 Enrollment ID: I20220526000052 |
| Provider Name | Mary Rose Anne Manibog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255892725 PECOS PAC ID: 3678956232 Enrollment ID: I20220815000370 |
| Provider Name | Nancy Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982337671 PECOS PAC ID: 6204200116 Enrollment ID: I20230407001987 |
Innovative Mwlm Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 Greenway Center Dr Ste 660, Greenbelt, MD 20770 Phone: 443-512-8337 | |
Mushtaq Shah Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7227 Hanover Pkwy, Ste A, Greenbelt, MD 20770 Phone: 301-220-0606 Fax: 301-513-9049 | |
Ace Urgent Care And Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7347 Hanover Pkwy Ste B, Greenbelt, MD 20770 Phone: 301-220-2277 | |
Bms At Absolutecare Greenbelt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7501 Greenway Center Dr Ste 600, Greenbelt, MD 20770 Phone: 301-579-3465 Fax: 443-738-0290 | |
Metro Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7525 Greenway Center Dr, Suite 202, Greenbelt, MD 20770 Phone: 301-345-6465 | |
Gimedhealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7305 Hanover Parkway Suite A, Greenbelt, MD 20770 Phone: 301-982-7900 Fax: 240-553-9611 | |
Revive Medical & Aesthetic Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7313 Hanover Pkwy Ste A, Greenbelt, MD 20770 Phone: 301-412-5522 Fax: 301-498-7436 |