| Dr Dara Imani Jackson, MD | |
|
6901 Security Blvd Ste 200, Windsor Mill, MD 21244-2412 | |
| (410) 837-2050 | |
| Not Available |
| Full Name | Dr Dara Imani Jackson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6901 Security Blvd Ste 200, Windsor Mill, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912527987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 210012225 (District Of Columbia) | Secondary |
| 207Q00000X | Family Medicine | D0098790 (Maryland) | Primary |
| Entity Name | Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dara Imani Jackson, MD 1111 N Charles St, Baltimore, MD 21201-5505 Ph: (410) 837-2050 | Dr Dara Imani Jackson, MD 6901 Security Blvd Ste 200, Windsor Mill, MD 21244-2412 Ph: (410) 837-2050 |
Babajide Runsewe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3608 Milford Mill Rd, Windsor Mill, MD 21244 Phone: 443-272-7858 Fax: 443-405-7237 | |
Aalok Vilas Malankar, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050 | |
Dr. Yasmeen Ghias Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Johnnycake Rd, Suite 106, Windsor Mill, MD 21244 Phone: 410-744-8111 Fax: 410-744-8110 | |
Dr. Danielle Horridge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050 | |
Dr. Elizabeth Nicole Harlan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050 | |
Eva Dicocco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7141 Security Blvd, Windsor Mill, MD 21244 Phone: 410-339-5500 | |
Dr. Naeha Quasba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7141 Security Blvd, Windsor Mill, MD 21244 Phone: 301-708-6095 |