| Dr Kwasi Poku, MD | |
|
7601 Osler Dr, Towson, MD 21204-7700 | |
| (410) 847-9111 | |
| Not Available |
| Full Name | Dr Kwasi Poku |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 7601 Osler Dr, Towson, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477655215 | NPI | - | NPPES |
| 785661000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D0021807 (Maryland) | Primary |
| Entity Name | University Of Maryland St Joseph Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kwasi Poku, MD 5710 Wabash Ave, Baltimore, MD 21215 Ph: (410) 358-4400 | Dr Kwasi Poku, MD 7601 Osler Dr, Towson, MD 21204-7700 Ph: (410) 847-9111 |
Dr. Richard Michael Silberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 Fairmount Ave, Suite 200, Towson, MD 21286 Phone: 410-494-2799 Fax: 410-494-1211 | |
Dr. Nicolette D Morris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 York Rd, Towson, MD 21204 Phone: 410-825-6420 Fax: 410-825-5819 | |
Alison Faye Decker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 Lasalle Rd, Suite 105, Towson, MD 21286 Phone: 410-823-5232 | |
Melissa Emerson Lancer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
Jeffries L.g. Bucci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7600 Osler Drive, Suite 310, Towson, MD 21204 Phone: 410-296-2300 Fax: 410-296-3444 | |
Dr. Paul Zoltan Bodnar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Fairmont Avenue, Suite 100a, Towson, MD 21286 Phone: 410-494-1369 Fax: 410-494-2737 | |
Dr. Kristen Miller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1120 |