MEDICARE: TCMG PA

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	D0044793	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	CC2620	OTHER	MD	MEDICARE RAILROAD GRP NUM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E268	OTHER	MD	FEDERAL BLUE SHIELD GRP#
2	825231	OTHER	MD	MAMSI-UNITED HEALTHCARE
3	KA70AL	OTHER	MD	BLUE SHEILD OF MD GRP #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912030073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TCMG PA

Provider Business Mailing Address
First Line	:	9512 HARFORD RD
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-3100
Country	:	US
Telephone Number	:	410-665-4400
Fax Number	:	410-661-2420

Provider Business Practice Location Address
First Line	:	9512 HARFORD RD STE 4
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-3127
Country	:	US
Telephone Number	:	410-665-4400
Fax Number	:	410-661-2420

Authorized Official
Title or Position	:	CEO-PRIMARY OWNER
Name	:	DR. MOHAMMAD RAHNAMA
Credential	:	M.D.
Telephone Number	:	410-288-5220

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	01/09/2026

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Directions to “TCMG PA ” Practice Location

Language	Start Address	Practice Location

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