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1043202591

NPI Code Detail

MEDICARE: DR. MICHELLE Y PRICE MD

MEDICARE: DR. MICHELLE Y PRICE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0050778	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80117369	OTHER	MD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1454492	OTHER	MD	CIGNA PIN
3	P13465	OTHER	MD	CAREFIRST MPOS
4	021983	OTHER	MD	JHHC PROVIDER NUMBER
5	267853	OTHER	MD	MAMSI SPECIALIST
6	5164715	OTHER	MD	AETNA FEE FOR SERVICE
7	2106808	OTHER	MD	AETNA CAPITATED
8	3509-0011	OTHER	MD	CAREFIRST BLUECHOICE
9	546577-02	OTHER	MD	CAREFIRST MD RENDERING
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	867853	OTHER	MD	MAMSI PRIMARY CARE

General Provider Information

NPI Number	:	1043202591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE Y PRICE MD

Provider Business Mailing Address
First Line	:	7580 BUCKINGHAM BLVD STE 220
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-3210
Country	:	US
Telephone Number	:	410-729-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 WATERLOO RD STE 200
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2641
Country	:	US
Telephone Number	:	410-740-2900
Fax Number	:	410-992-0732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	03/16/2023

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Directions to “ DR. MICHELLE Y PRICE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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