| Mahwish Khurram Mdpa | |
|
9106 Philadelphia Rd Ste 204 Baltimore MD 21237-4333 | |
| (410) 687-8777 | |
| Not Available |
| Full Name | Mahwish Khurram Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9106 Philadelphia Rd Ste 204, Baltimore, Maryland |
| Authorized Official Name and Position | Mahwish Shakil Khurram (OWNER) |
| Authorized Official Contact | 4109794194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahwish Khurram Mdpa Po Box 130 Glenelg MD 21737-0130 | Mahwish Khurram Mdpa 9106 Philadelphia Rd Ste 204 Baltimore MD 21237-4333 Ph: (410) 687-8777 |
| NPI Number | 1952119208 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 5092243733 |
|---|---|
| Medicare Enrollment ID | O20250109001650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952119208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Mahwish Shakil Khurram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548654429 PECOS PAC ID: 6709133820 Enrollment ID: I20180720001339 |
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