| Columbia Patient Care Associates, Llc | |
|
11085 Little Patuxent Pkwy Medical Arts Bldg - Ste L001 Columbia MD 21044-2983 | |
| (410) 884-4939 | |
| (410) 884-4991 |
| Full Name | Columbia Patient Care Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11085 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Sirilatha Kanumuru (CO-OWNER) |
| Authorized Official Contact | 4108844939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Patient Care Associates, Llc Po Box 1121 Columbia MD 21044-0121 Ph: (410) 884-4939 | Columbia Patient Care Associates, Llc 11085 Little Patuxent Pkwy Medical Arts Bldg - Ste L001 Columbia MD 21044-2983 Ph: (410) 884-4939 |
| NPI Number | 1568730414 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 2860659398 |
|---|---|
| Medicare Enrollment ID | O20120210000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568730414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Srilatha Kanumuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417985854 PECOS PAC ID: 1052317823 Enrollment ID: I20061201000051 |
| Provider Name | Mythily Vancha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548292022 PECOS PAC ID: 6608875927 Enrollment ID: I20090421000019 |
| Provider Name | Shahab Z Bavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326061672 PECOS PAC ID: 4082611520 Enrollment ID: I20090504000480 |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
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Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 350, Columbia, MD 21044 Phone: 410-709-7432 | |
Your Health Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046 Phone: 301-575-8080 | |
University Of Maryland Physicians, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5890 Waterloo Rd, Columbia, MD 21045 Phone: 410-667-2142 Fax: 410-799-9097 | |
Kauser And Tanveer Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9650 Santiago Rd, Suite #110, Columbia, MD 21045 Phone: 410-992-7004 Fax: 410-992-1657 |