| Benjamin S. Lee, M.d., P.a. | |
|
700 Geipe Rd Suite 204 Catonsville MD 21228-4147 | |
| (410) 744-7184 | |
| (410) 744-1176 |
| Full Name | Benjamin S. Lee, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Geipe Rd, Catonsville, Maryland |
| Authorized Official Name and Position | Benjamin S Lee (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4107447184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin S. Lee, M.d., P.a. 700 Geipe Rd Suite 204 Catonsville MD 21228-4147 Ph: (410) 744-7184 | Benjamin S. Lee, M.d., P.a. 700 Geipe Rd Suite 204 Catonsville MD 21228-4147 Ph: (410) 744-7184 |
| NPI Number | 1568815983 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 5597052225 |
|---|---|
| Medicare Enrollment ID | O20160923001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568815983 | NPI | - | NPPES |
| 904310100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0052544 (Maryland) | Primary |
| Provider Name | Victor Y Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629092465 PECOS PAC ID: 5193713972 Enrollment ID: I20040501000357 |
| Provider Name | Benjamin Seunghoon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730156746 PECOS PAC ID: 5597893867 Enrollment ID: I20100506000425 |
| Provider Name | Jenny Youjin Seo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740521541 PECOS PAC ID: 8123325404 Enrollment ID: I20160819001876 |
| Provider Name | Chun A Piao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982351250 PECOS PAC ID: 3072909878 Enrollment ID: I20220404002183 |
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