| Tcmg Pa | |
|
6730 Holabird Ave Baltimore MD 21222 | |
| (410) 288-6226 | |
| (410) 288-9048 |
| Full Name | Tcmg Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6730 Holabird Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Mohammad Rahnama (CEO-PRIMARY OWNER) |
| Authorized Official Contact | 4102885220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcmg Pa 6730 Holabird Ave Baltimore MD 21222-1700 Ph: (410) 288-6226 | Tcmg Pa 6730 Holabird Ave Baltimore MD 21222 Ph: (410) 288-6226 |
| NPI Number | 1912030073 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 06/26/2018 |
| Medicare PECOS PAC ID | 4385782366 |
|---|---|
| Medicare Enrollment ID | O20091111000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912030073 | NPI | - | NPPES |
| E268 | Other | MD | FEDERAL BLUE SHIELD GRP# |
| 825231 | Other | MD | MAMSI-UNITED HEALTHCARE |
| KA70AL | Other | MD | BLUE SHEILD OF MD GRP # |
| 124500700 | Medicaid | MD | |
| CC2620 | Other | MD | MEDICARE RAILROAD GRP NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0044793 (Maryland) | Primary |
| Provider Name | Lucinda L Mundorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497732374 PECOS PAC ID: 7810913951 Enrollment ID: I20051018001242 |
| Provider Name | Mary Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184814923 PECOS PAC ID: 7416026182 Enrollment ID: I20080521000201 |
| Provider Name | Deborah L Gallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477600161 PECOS PAC ID: 2264570282 Enrollment ID: I20091112000276 |
| Provider Name | Mohammad R Rahnama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952458739 PECOS PAC ID: 3678611688 Enrollment ID: I20091118000018 |
| Provider Name | Anastasios Tsiolakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430705 PECOS PAC ID: 3678795655 Enrollment ID: I20150113001174 |
| Provider Name | Sonya L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023461043 PECOS PAC ID: 4385938323 Enrollment ID: I20170920001057 |
| Provider Name | Timothy J Lederer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033695960 PECOS PAC ID: 2365781291 Enrollment ID: I20190311002079 |
| Provider Name | Valdane Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245631241 PECOS PAC ID: 5496187064 Enrollment ID: I20191120000698 |
| Provider Name | Andrea Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548656655 PECOS PAC ID: 1850716499 Enrollment ID: I20200730000543 |
| Provider Name | Caroline Drusano Chell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194571505 PECOS PAC ID: 4587197041 Enrollment ID: I20241023001608 |
| Provider Name | Tina Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386361996 PECOS PAC ID: 8628441755 Enrollment ID: I20250509000256 |
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