| Patient Care MD | |
|
9650 Santiago Rd Suite #110 Columbia MD 21045-3957 | |
| (410) 992-7004 | |
| (410) 992-1657 |
| Full Name | Patient Care MD |
|---|---|
| Speciality | Clinic/Center |
| Location | 9650 Santiago Rd, Columbia, Maryland |
| Authorized Official Name and Position | Kauser Fatima Khan (PRESIDENT) |
| Authorized Official Contact | 4109927004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Care MD 9650 Santiago Rd Suite #110 Columbia MD 21045-3957 Ph: (410) 992-7004 | Patient Care MD 9650 Santiago Rd Suite #110 Columbia MD 21045-3957 Ph: (410) 992-7004 |
| NPI Number | 1043316805 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648249060 |
|---|---|
| Medicare Enrollment ID | O20041001000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043316805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Kauser F Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457328627 PECOS PAC ID: 1254235070 Enrollment ID: I20041001000085 |
| Provider Name | Shakunmala Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437255338 PECOS PAC ID: 2062467186 Enrollment ID: I20050322000170 |
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