Eugene Khoroshan, | |
2634 Brandermill Blvd, Gambrills, MD 21054-1651 | |
(410) 721-7201 | |
Not Available |
Full Name | Eugene Khoroshan |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2634 Brandermill Blvd, Gambrills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093104358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 25366 (Maryland) | Primary |
Provider Name | Fall Prevention And Stroke Rehab Physician, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124564703 PECOS PAC ID: 5294011912 Enrollment ID: O20170412001869 |
Mailing Address | Practice Location Address |
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Eugene Khoroshan, 2135 E Fairmount Ave, Baltimore, MD 21231-1642 Ph: () - | Eugene Khoroshan, 2634 Brandermill Blvd, Gambrills, MD 21054-1651 Ph: (410) 721-7201 |
Lee Koch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2410 Evergreen Rd Ste 100, Gambrills, MD 21054 Phone: 410-451-8150 Fax: 410-451-8151 | |
Margaret Cuddy Frey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 State Route 3 S, Gambrills, MD 21054 Phone: 443-645-3162 | |
Scott Goyette, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 Fax: 410-721-7580 | |
Gavin Palma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2410 Evergreen Rd Ste 100, Gambrills, MD 21054 Phone: 410-451-8140 | |
Ms. Rizalyn Silvino Cloos, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 Fax: 410-721-7580 | |
Mrs. Laura L Tallman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 Fax: 410-721-7580 |