| Dr Philip Jaratsak Nivatpumin, MD | |
| 
					9114 Philadelphia Rd, Suite 208, Baltimore, MD 21237-4317  | |
| (410) 687-5300 | |
| (410) 682-4418 | 
| Full Name | Dr Philip Jaratsak Nivatpumin | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hematology & Oncology | 
| Location | 9114 Philadelphia Rd, Baltimore, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699721654 | NPI | - | NPPES | 
| 401416200 | Medicaid | MD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | D0058475 (Maryland) | Primary | 
| Entity Name | Upper Chesapeake Hematology And Oncology Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699067058 PECOS PAC ID: 8820276397 Enrollment ID: O20110705000192  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Philip Jaratsak Nivatpumin, MD 9114 Philadelphia Rd, Suite 208, Baltimore, MD 21237-4317 Ph: (410) 687-5300  | Dr Philip Jaratsak Nivatpumin, MD 9114 Philadelphia Rd, Suite 208, Baltimore, MD 21237-4317 Ph: (410) 687-5300  | 
Dr. Leonard Anang Sowah, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-706-4619 Fax: 410-706-2062  | |
Dr. Bhavandeep Singh Bajaj, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3345 Wilkens Avenue, Suite L10, Baltimore, MD 21229 Phone: 410-644-4444 Fax: 410-644-4484  | |
Dr. Yonas Sisay, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 822 Guilford Ave, #100, Baltimore, MD 21202 Phone: 410-385-9672  | |
Dr. Stephen John Witanowski, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209 Phone: 410-469-5544 Fax: 410-585-2867  | |
Dr. Susrutha Kotwal, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Mfl Bldg, West Tower, 6th Floor, Baltimore, MD 21224 Phone: 410-550-5018  | |
Dr. Mitesh G Trambadia, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 6701 N Charles St Ste 5218, Baltimore, MD 21204 Phone: 443-849-3786  | |
Ronak K Patel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 201 E University Pkwy, Baltimore, MD 21218 Phone: 410-554-2000  |