| Physicians Medical Practice Pa | |
|
3231 Superior Ln A-8 Bowie MD 20715-1923 | |
| (301) 352-6126 | |
| Not Available |
| Full Name | Physicians Medical Practice Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3231 Superior Ln, Bowie, Maryland |
| Authorized Official Name and Position | Kanwaljit Singh Ahuja (PRESIDENT CEO) |
| Authorized Official Contact | 3013526126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Medical Practice Pa Po Box 2086 Bowie MD 20718-2086 Ph: (301) 352-6126 | Physicians Medical Practice Pa 3231 Superior Ln A-8 Bowie MD 20715-1923 Ph: (301) 352-6126 |
| NPI Number | 1013004274 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830140821 |
|---|---|
| Medicare Enrollment ID | O20050208000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013004274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D0057847 (Maryland) | Primary |
| Provider Name | Kanwaljit S Ahuja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366446619 PECOS PAC ID: 6901855758 Enrollment ID: I20050208000116 |
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