| Clarksville Internal Medicine | |
|
6124 Rippling Tides Ter Clarksville MD 21029-1535 | |
| (443) 248-1727 | |
| (888) 560-5303 |
| Full Name | Clarksville Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6124 Rippling Tides Ter, Clarksville, Maryland |
| Authorized Official Name and Position | Dona Bowie (BILLING MANAGER) |
| Authorized Official Contact | 3012546364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Internal Medicine 6124 Rippling Tides Ter Clarksville MD 21029-1535 Ph: (443) 248-1727 | Clarksville Internal Medicine 6124 Rippling Tides Ter Clarksville MD 21029-1535 Ph: (443) 248-1727 |
| NPI Number | 1184347486 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Medicare PECOS PAC ID | 3971970120 |
|---|---|
| Medicare Enrollment ID | O20221101002557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184347486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Khawaja A Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447281308 PECOS PAC ID: 9436255262 Enrollment ID: I20070510000436 |
| Provider Name | Eunice Eneanya Udiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730441239 PECOS PAC ID: 8820472699 Enrollment ID: I20220827000106 |
Nilemed Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6039 Red Clover Ln, Clarksville, MD 21029 Phone: 201-962-0585 | |
Lea Lazar, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029 Phone: 410-531-1440 Fax: 410-531-1412 | |
Centennial Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6339 Ten Oaks Rd Ste 100, Clarksville, MD 21029 Phone: 410-730-3399 Fax: 443-478-4747 | |
Integra Clinical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6030 Daybreak Cir Ste A150-183, Clarksville, MD 21029 Phone: 844-856-9355 Fax: 844-856-9355 | |
Dr Lea Lazar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029 Phone: 410-531-1440 Fax: 410-531-1412 | |
Prime Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5005 Signal Bell Ln, Suite 202, Clarksville, MD 21029 Phone: 443-535-8500 Fax: 410-531-1446 |