| 40 West Walk In Medical Center | |
|
8455 Baltimore National Pike Suite C Ellicott City MD 21043-4208 | |
| (410) 465-6300 | |
| (410) 465-1943 |
| Full Name | 40 West Walk In Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 8455 Baltimore National Pike, Ellicott City, Maryland |
| Authorized Official Name and Position | Mumtaz Banu Mehboob (PRESIDENT) |
| Authorized Official Contact | 4104656300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 40 West Walk In Medical Center 8455 Baltimore National Pike Suite C Ellicott City MD 21043-4208 Ph: (410) 465-6300 | 40 West Walk In Medical Center 8455 Baltimore National Pike Suite C Ellicott City MD 21043-4208 Ph: (410) 465-6300 |
| NPI Number | 1982700787 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982700787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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