Pooja Selvam, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. Her current practice location is
4940 Eastern Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 550-0100.
Pooja Selvam is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710626031.
Physician's Profile
| Full Name | Pooja Selvam |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4940 Eastern Ave, Baltimore, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710626031
- Provider Enumeration Date: 06/03/2022
- Last Update Date: 07/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365821766
- Enrollment ID: I20220615000543
Medical Identifiers
Medical identifiers for Pooja Selvam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710626031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 35516 (West Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pooja Selvam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Pooja Selvam, MD 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 Ph: (443) 220-1599 | Pooja Selvam, MD 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-0100 |
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