MEDICARE: CAMERON MEDICAL GROUP LLP

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		MD

General Provider Information

NPI Number	:	1962621029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMERON MEDICAL GROUP LLP

Provider Business Mailing Address
First Line	:	8700 GEORGIA AVE
Second Line	:	SUITE 400
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3618
Country	:	US
Telephone Number	:	301-585-6049
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 GEORGIA AVE
Second Line	:	SUITE 400
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3618
Country	:	US
Telephone Number	:	301-585-6049
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PHYSICIAN
Name	:	DR. GAIL J POVAR
Credential	:	MD
Telephone Number	:	301-585-6049

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/21/2022

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