| Jhcp-1132 Annapolis Rd-provider Type: 20-physician | |
|
1132 Annapolis Rd Odenton MD 21113-1647 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Jhcp-1132 Annapolis Rd-provider Type: 20-physician |
|---|---|
| Speciality | Internal Medicine |
| Location | 1132 Annapolis Rd, Odenton, Maryland |
| Authorized Official Name and Position | Steven Kravet (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4107354800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhcp-1132 Annapolis Rd-provider Type: 20-physician 6201 Greenleigh Ave Middle River MD 21220-2004 Ph: (410) 933-0000 | Jhcp-1132 Annapolis Rd-provider Type: 20-physician 1132 Annapolis Rd Odenton MD 21113-1647 Ph: (410) 955-5000 |
| NPI Number | 1740156900 |
|---|---|
| Provider Enumeration Date | 10/15/2025 |
| Last Update Date | 10/15/2025 |
| Certification Date | 10/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740156900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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