| Mid-atlantic Institute Of Venous And Lymphatic Medicine Llc | |
|
677 E Pulaski Hwy Ste 1b Elkton MD 21921-6057 | |
| (410) 398-0215 | |
| (443) 593-3725 |
| Full Name | Mid-atlantic Institute Of Venous And Lymphatic Medicine Llc |
|---|---|
| Speciality | Phlebology |
| Location | 677 E Pulaski Hwy Ste 1b, Elkton, Maryland |
| Authorized Official Name and Position | Mohammad Basit Afzal (PROVIDER) |
| Authorized Official Contact | 4103980215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-atlantic Institute Of Venous And Lymphatic Medicine Llc 677 E Pulaski Hwy Ste 1b Elkton MD 21921-6057 Ph: (410) 398-0215 | Mid-atlantic Institute Of Venous And Lymphatic Medicine Llc 677 E Pulaski Hwy Ste 1b Elkton MD 21921-6057 Ph: (410) 398-0215 |
| NPI Number | 1225588569 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 9133400823 |
|---|---|
| Medicare Enrollment ID | O20170112000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225588569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maryland) | Secondary |
| 202K00000X | Phlebology | (* (Not Available)) | Primary |
| Provider Name | Mohammad B Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890611 PECOS PAC ID: 3577597558 Enrollment ID: I20070924000339 |
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