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NPI Code Detail

MEDICARE: M MANAGEMENT GROUP LLC

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 License Number License Number State
1207RC0000XCardiovascular Disease Physician
2207RC0200XCritical Care Medicine (Internal Medicine) Physician
3103T00000XPsychologist
4207RE0101XEndocrinology, Diabetes & Metabolism Physician
5207RG0100XGastroenterology Physician
6207RH0003XHematology & Oncology Physician
7207RI0200XInfectious Disease Physician
8207RN0300XNephrology Physician
9208100000XPhysical Medicine & Rehabilitation Physician
10207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1952259996
Entity Type Code : Organization
Provider Name (Legal Business Name) : M MANAGEMENT GROUP LLC
Provider Business Mailing Address
First Line : 6 E EAGER ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21202-2506
Country : US
Telephone Number : 410-835-0009
Fax Number :
Provider Business Practice Location Address
First Line : 4409 E WEST HWY
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-1058
Country : US
Telephone Number : 301-699-2000
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : KRYSTLE D BROWN
Credential :
Telephone Number : 410-800-6251
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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