| Enrique Ivan Oviedo, MD | |
|
40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | |
| (410) 220-0780 | |
| (410) 862-0150 |
| Full Name | Enrique Ivan Oviedo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 18 Years |
| Location | 40 S Dundalk Ave Ste 400, Dundalk, Maryland |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255534756 | NPI | - | NPPES |
| D0068379 | Other | MD | STATE LICENSE |
| 445126100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0068379 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matclinic Physicians Practice Group Llc | 3274804349 | 21 |
| Associated Catholic Charities Inc | 8527101351 | 43 |
| Entity Name | Sheppard Pratt Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737 |
| Entity Name | University Of Maryland Psychiatry Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649292699 PECOS PAC ID: 1052208253 Enrollment ID: O20040302001182 |
| Entity Name | Associated Catholic Charities Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073639159 PECOS PAC ID: 8527101351 Enrollment ID: O20170703001268 |
| Entity Name | Matclinic Physicians Practice Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Ivan Oviedo, MD 6705 Evanston Rd, Baltimore, MD 21209-3865 Ph: (410) 220-0780 | Enrique Ivan Oviedo, MD 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 Ph: (410) 220-0780 |
Gulafsheen Jabbar Quadri, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222 Phone: 410-299-6928 | |
Dr. Galen Brooks, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7827 Wise Ave, Dundalk, MD 21222 Phone: 410-282-7222 Fax: 410-282-0069 |