| |
4660 Wilkens Ave Suite 100 Baltimore MD 21229-4848 | |
(410) 247-0782 | |
(410) 242-7819 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 4660 Wilkens Ave, Baltimore, Maryland |
Authorized Official Name and Position | Jamie L. Steele-white (CREDENTIALING ASSOCIATE) |
Authorized Official Contact | 4109333073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4660 Wilkens Ave Suite 100 Baltimore MD 21229-4848 Ph: (410) 247-0782 | 4660 Wilkens Ave Suite 100 Baltimore MD 21229-4848 Ph: (410) 247-0782 |
NPI Number | 1447487368 |
---|---|
Provider Enumeration Date | 06/18/2009 |
Last Update Date | 06/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447487368 | NPI | - | NPPES |
CC3132 | Other | MD | RAILROAD MEDICARE |
KT80 | Other | MD | CAREFIRST OF MD |
W653 | Other | MD | CAREFIRST OF DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 |