| Maryland Wound & Amputation Prevention, Llc | |
|
1300 York Rd Ste 200 Lutherville MD 21093-6090 | |
| (443) 383-9300 | |
| (855) 866-8710 |
| Full Name | Maryland Wound & Amputation Prevention, Llc |
|---|---|
| Speciality | Radiology |
| Location | 1300 York Rd Ste 200, Lutherville, Maryland |
| Authorized Official Name and Position | Robert Thomas (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4433839300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Wound & Amputation Prevention, Llc Po Box 69469 Baltimore MD 21264-9469 Ph: (877) 982-9227 | Maryland Wound & Amputation Prevention, Llc 1300 York Rd Ste 200 Lutherville MD 21093-6090 Ph: (443) 383-9300 |
| NPI Number | 1134897424 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 7810382637 |
|---|---|
| Medicare Enrollment ID | O20220315000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134897424 | NPI | - | NPPES |
| Provider Name | Massoud Arbabzadeh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841245149 PECOS PAC ID: 5193876837 Enrollment ID: I20210203003141 |
| Provider Name | Elliot Landau |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902151038 PECOS PAC ID: 4587924204 Enrollment ID: I20220315000061 |
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