DR. KHALED ATTIA MADI (NPI# 1134489867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134489867 |
| Entity Type | Individual |
| Full Name | DR. KHALED ATTIA MADI |
| Credential | DPM |
| Practice Address |
1221 Mercantile Ln Upper Marlboro MD 20774-5374 |
| Practice Telephone | 3016185500 |
| Mailing Telephone | 3016185500 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 01587 | MD | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1221 MERCANTILE LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099471 | Stephany Venero | Dietitian, Registered | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2020-03-23 |
| 1386127942 | Joan Ife Udejiofor | Nurse Practitioner | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-09-10 |
| 1578040002 | Shanique Kimberley James | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-07-27 |
| 1174014799 | Katherine Olsen Patel | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-05-21 |
| 1992211502 | Isaac Donkoh | Registered Nurse | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-12-19 |
| 1770093262 | Crystal Charles | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-10-10 |
| 1629507520 | Oluchi Elekwachi | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-06-06 |
| 1992153407 | Malori Monet Callender | Family Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-05-25 |
| 1811353899 | Jennifer Ann Bauder | Physical Therapy Assistant | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-01-06 |
| 1457725467 | Anne C Smith | Occupational Therapist | 1221 Mercantile Ln, Dept 402, Upper Marlboro, MD 20774-5374 | 2015-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342236 | Podiatry Associates, P.a. | Podiatrist | 9403 Harford Rd Ste 5, Baltimore, MD 21234-3123 | 2020-09-24 |
| 1063029114 | Podiatry Associates, P.a. | Podiatrist | 404 Eastern Blvd Ste 1, Baltimore, MD 21221-6748 | 2020-09-23 |
| 1285259192 | Podiatry Associates, P.a. | Podiatrist | 110 Old Padonia Rd Ste 300, Cockeysville, MD 21030-4948 | 2020-06-16 |
| 1588295059 | Podiatry Associates, P.a. | Podiatrist | 1205 York Rd Ste 17, Lutherville, MD 21093-6211 | 2020-02-03 |
| 1861023327 | Podiatry Associates, P.a. | Podiatrist | 10 Warren Rd Ste 130, Cockeysville, MD 21030-2518 | 2020-02-03 |
| 1225669781 | Podiatry Associates, P.a. | Podiatrist | 2 E Rolling Xrds Ste 55, Catonsville, MD 21228-6212 | 2020-02-03 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1952932428 | Podiatry Associates, P.a. | Podiatrist | 795 Aquahart Rd Ste 125, Glen Burnie, MD 21061-3905 | 2020-02-03 |
| 1861023335 | Podiatry Associates, P.a. | Podiatrist | 1500 Blenhiem Farm Ln Ste C, Havre De Grace, MD 21078-2042 | 2020-02-03 |
| 1336798719 | Podiatry Care Plus LLC | Podiatrist | 14201 Laurel Park Dr Ste 214, Laurel, MD 20707-5203 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.