| Wecare Comprehensive Family Medicine, Llc | |
|
10632 Little Patuxent Pkwy Ste #130 Columbia MD 21044-3273 | |
| (410) 707-0847 | |
| (410) 715-9884 |
| Full Name | Wecare Comprehensive Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Hamid Ehsani-shishvan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4107070847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wecare Comprehensive Family Medicine, Llc 10632 Little Patuxent Pkwy Ste #130 Columbia MD 21044-3273 Ph: (410) 707-0847 | Wecare Comprehensive Family Medicine, Llc 10632 Little Patuxent Pkwy Ste #130 Columbia MD 21044-3273 Ph: (410) 707-0847 |
| NPI Number | 1407013956 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 08/29/2008 |
| Medicare PECOS PAC ID | 6608942446 |
|---|---|
| Medicare Enrollment ID | O20080903000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407013956 | NPI | - | NPPES |
| D0065701 | Other | MD | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0065701 (Maryland) | Primary |
| 261QP2300X | Clinic/center - Primary Care | D0065701 (Maryland) | Secondary |
| Provider Name | Hamid Ehsani-shishvan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720157647 PECOS PAC ID: 0446251573 Enrollment ID: I20070607000499 |
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