| Dr. Vaywala P.a. | |
|
1130 Baltimore Blvd Westminster MD 21157-7098 | |
| (410) 848-2170 | |
| (410) 848-8679 |
| Full Name | Dr. Vaywala P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1130 Baltimore Blvd, Westminster, Maryland |
| Authorized Official Name and Position | Nayan Vaywala (PRESIDENT) |
| Authorized Official Contact | 4108482170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Vaywala P.a. 12415 Preserve Way Reisterstown MD 21136-3533 Ph: (410) 848-2170 | Dr. Vaywala P.a. 1130 Baltimore Blvd Westminster MD 21157-7098 Ph: (410) 848-2170 |
| NPI Number | 1548201312 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 01/20/2017 |
| Medicare PECOS PAC ID | 9234038696 |
|---|---|
| Medicare Enrollment ID | O20040105000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548201312 | NPI | - | NPPES |
| 716601000 | Medicaid | MD | |
| R513 | Other | DC | CAREFERST B/C B/S |
| LQ64VA | Other | MD | CAREFIRST B/C B/S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nayan J Vaywala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861432650 PECOS PAC ID: 4587563259 Enrollment ID: I20040102000250 |
| Provider Name | Dawn K Pullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265476139 PECOS PAC ID: 2961411293 Enrollment ID: I20060414000088 |
| Provider Name | Daniel C Aukerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659494110 PECOS PAC ID: 7113093139 Enrollment ID: I20080827000475 |
| Provider Name | Roshni Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508230665 PECOS PAC ID: 5597068635 Enrollment ID: I20160122000887 |
| Provider Name | Courtney O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932768199 PECOS PAC ID: 0648506956 Enrollment ID: I20190724002800 |
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