| Amar A Mukhtar, DO | |
|
7450 Albert Rd Fl 2, Brandywine, MD 20613-3035 | |
| (301) 888-2233 | |
| (301) 888-9133 |
| Full Name | Amar A Mukhtar |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 10 Years |
| Location | 7450 Albert Rd Fl 2, Brandywine, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346697760 | NPI | - | NPPES |
| 220136400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0102205318 (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H0089962 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uplift Behavioral Health Pc | 4688057086 | 16 |
| Greater Baden Medical Service Incorporated | 4981632650 | 34 |
| Uplift Behavioral Health Pc | 4688057086 | 16 |
| Uplift Behavioral Health Pc | 4688057086 | 16 |
| Entity Name | Greater Baden Medical Service Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20051017000645 |
| Entity Name | Uplift Health Technologies Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770189243 PECOS PAC ID: 5092109918 Enrollment ID: O20220218000586 |
| Entity Name | Uplift Behavioral Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629740410 PECOS PAC ID: 4688057086 Enrollment ID: O20220817003644 |
| Mailing Address | Practice Location Address |
|---|---|
| Amar A Mukhtar, DO 7450 Albert Rd Fl 3, Brandywine, MD 20613-3035 Ph: (301) 888-2233 | Amar A Mukhtar, DO 7450 Albert Rd Fl 2, Brandywine, MD 20613-3035 Ph: (301) 888-2233 |
Sharen Brenda Taylor White, PSYCHIATRIC NURSE PR Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13908 Owings Ave, Brandywine, MD 20613 Phone: 301-266-1241 Fax: 301-782-3213 |