Patricia Marie Disharoon


Address: 3414 Saint Paul St, Baltimore, MD 21218-2701
Phone: 4108893060

Patricia Marie Disharoon (NPI# 1730175886, PAC ID# 2365630803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1730175886
PAC ID by PECOS 2365630803
Professional Enrollment ID I20101227000797
Full Name Patricia Marie Disharoon
Address 3414 Saint Paul St
Baltimore
MD 21218-2701
Phone Number 4108893060
Gender F
Medical School JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210024 MEDSTAR UNION MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
3414 Saint Paul St, Baltimore, MD 21218-2701 4108893060

Organization Information

Office Location

Street Address 3414 SAINT PAUL ST
City BALTIMORE
State MD
Zip 21218-2701

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Jonathan A Johnson General Surgery 3801 Canterbury Rd, Unit 711, Baltimore, MD 21218-2376
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Diane F Gutterman Psychiatry 3501 Saint Paul St, Suite 142, Baltimore, MD 21218-2726
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Competitor

Search similar physicians

City BALTIMORE
Zip Code 21218
Specialty INTERNAL MEDICINE
City + Specialty BALTIMORE + INTERNAL MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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