| Autumn Lake Ballenger Creek | |
|
347 Ballenger Center Dr Frederick MD 21703-7095 | |
| (301) 663-5181 | |
| Not Available |
| Full Name | Autumn Lake Ballenger Creek |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 347 Ballenger Center Dr, Frederick, Maryland |
| Authorized Official Name and Position | Kamal Salah H Sewaralthahab (OWNER) |
| Authorized Official Contact | 4433250031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Lake Ballenger Creek 1205 York Rd Ste 11 Timonium MD 21093-6211 Ph: (443) 325-0031 | Autumn Lake Ballenger Creek 347 Ballenger Center Dr Frederick MD 21703-7095 Ph: (301) 663-5181 |
| NPI Number | 1629920855 |
|---|---|
| Provider Enumeration Date | 02/11/2026 |
| Last Update Date | 02/11/2026 |
| Certification Date | 02/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629920855 | NPI | - | NPPES |
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