| Azra A Ahmed Md/pa | |
|
821 N Eutaw St S-103 Baltimore MD 21201-4648 | |
| (410) 225-8760 | |
| (410) 225-8455 |
| Full Name | Azra A Ahmed Md/pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 821 N Eutaw St, Baltimore, Maryland |
| Authorized Official Name and Position | Azra A Ahmed (PHYSICIAN) |
| Authorized Official Contact | 4102258760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azra A Ahmed Md/pa 821 N Eutaw St S-103 Baltimore MD 21201-4648 Ph: (410) 225-8760 | Azra A Ahmed Md/pa 821 N Eutaw St S-103 Baltimore MD 21201-4648 Ph: (410) 225-8760 |
| NPI Number | 1295916724 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 6507934395 |
|---|---|
| Medicare Enrollment ID | O20081007000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295916724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0039127 (Maryland) | Primary |
| Provider Name | Jacqueline Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366702862 PECOS PAC ID: 5092740738 Enrollment ID: I20051018000142 |
| Provider Name | Azra Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326014788 PECOS PAC ID: 2163449620 Enrollment ID: I20051025000378 |
| Provider Name | Dawn D Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396072138 PECOS PAC ID: 8022244045 Enrollment ID: I20131122000296 |
| Provider Name | Razia N Sebuliba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573965 PECOS PAC ID: 3476812488 Enrollment ID: I20180122000488 |
| Provider Name | Jubeth Fontanilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053808196 PECOS PAC ID: 4082979612 Enrollment ID: I20180531000184 |
| Provider Name | May Gerochi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699252585 PECOS PAC ID: 0648529222 Enrollment ID: I20180815000071 |
| Provider Name | Suma Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124516497 PECOS PAC ID: 8224389002 Enrollment ID: I20180918000744 |
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