| Chimax Medical Center, Llc | |
|
1232 Race Rd Ste 401 Rosedale MD 21237-2386 | |
| (410) 686-3931 | |
| (410) 881-4572 |
| Full Name | Chimax Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1232 Race Rd Ste 401, Rosedale, Maryland |
| Authorized Official Name and Position | Chienyenwa Eke Nwachinemere (PROVIDER) |
| Authorized Official Contact | 4106863931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chimax Medical Center, Llc 1232 Race Rd Ste 401 Rosedale MD 21237-2386 Ph: (410) 686-3931 | Chimax Medical Center, Llc 1232 Race Rd Ste 401 Rosedale MD 21237-2386 Ph: (410) 686-3931 |
| NPI Number | 1093984163 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 1951470632 |
|---|---|
| Medicare Enrollment ID | O20080521000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093984163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0063176 (Maryland) | Primary |
| Provider Name | Chienyenwa E Nwachinemere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316905227 PECOS PAC ID: 5395778203 Enrollment ID: I20050912001196 |
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