| Patricia G Gao Md Llc | |
|
203 Hospital Drive Suite 210 Glen Burnie MD 21061-6437 | |
| (410) 760-7333 | |
| (410) 766-3838 |
| Full Name | Patricia G Gao Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 Hospital Drive, Glen Burnie, Maryland |
| Authorized Official Name and Position | Patricia Geiger Gao (OWNER, DOCTOR) |
| Authorized Official Contact | 4107607333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia G Gao Md Llc P.o.box 11545 Belfast ME 04915-4006 Ph: (410) 760-7333 | Patricia G Gao Md Llc 203 Hospital Drive Suite 210 Glen Burnie MD 21061-6437 Ph: (410) 760-7333 |
| NPI Number | 1518159888 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 0143294744 |
|---|---|
| Medicare Enrollment ID | O20040820000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518159888 | NPI | - | NPPES |
| 994A | Other | MD | BC/BS OF MD |
| 016004100 | Medicaid | MD | |
| J901 | Other | MD | BC/BS FEP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Patricia G Gao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821070608 PECOS PAC ID: 7416946405 Enrollment ID: I20040506000675 |
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