MEDICARE: M MANAGEMENT GROUP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RH0000X	Hematology (Internal Medicine) Physician
2	207RN0300X	Nephrology Physician
3	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1487215182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M MANAGEMENT GROUP LLC

Provider Business Mailing Address
First Line	:	6 E EAGER STREET BALTIMORE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202
Country	:	US
Telephone Number	:	202-731-1638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 BRIGHTSEAT RD
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-3738
Country	:	US
Telephone Number	:	240-487-4400
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GERARD MOAWAD
Credential	:	MD
Telephone Number	:	202-731-1638

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	11/07/2025

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Directions to “M MANAGEMENT GROUP LLC ” Practice Location

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