| Shore Health Services Llc | |
|
511 Grand Cypress Ct Ashton MD 20861-8019 | |
| (410) 463-3705 | |
| Not Available |
| Full Name | Shore Health Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 511 Grand Cypress Ct, Ashton, Maryland |
| Authorized Official Name and Position | Asima Cheema (OWNER) |
| Authorized Official Contact | 4104437060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Health Services Llc 511 Grand Cypress Ct Ashton MD 20861-8019 Ph: (410) 463-3705 | Shore Health Services Llc 511 Grand Cypress Ct Ashton MD 20861-8019 Ph: (410) 463-3705 |
| NPI Number | 1447885579 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 6002245453 |
|---|---|
| Medicare Enrollment ID | O20200406001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447885579 | NPI | - | NPPES |
| 099149000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Asima S. Cheema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144583808 PECOS PAC ID: 0042525123 Enrollment ID: I20150819006502 |
| Provider Name | Zuwena Mohamed Iddi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831447747 PECOS PAC ID: 2365831146 Enrollment ID: I20211117000200 |