Alicia Mallare Neu

M.D. | Pediatric Nephrology | Female

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Complete Profile:

Alicia Mallare Neu basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Alicia Mallare Neu
Credential :	M.D.
Gender :	Female

Business Address:

Alicia Mallare Neu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	601 N Caroline St Baltimore, MD, 21287-0006 United States
Phone Number :	410-955-4427

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1548212947
NPI Entity Type :	Individual
First Enrolment Date :	16 May, 2006
Last Updated On :	08 Aug, 2022

Medicare Participation:

Alicia Mallare Neu participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0446383871
Medicare Enrollment ID :	I20100805000017
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Virginia School Of Medicine
Graduation Year :	1988
Accepts Medicare?	Yes. Alicia Mallare Neu accepts medicare insurance.

Group Practice Association:

Alicia Mallare Neu is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Alicia Mallare Neu is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Johns Hopkins University	8921903147	2600	200 N Wolfe St Baltimore, MD - 212870011 Ph: 4106143917	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alicia Mallare Neu are as mentioned. Primary taxonomy code for Alicia Mallare Neu, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	D42428	MD

Legacy Identifiers:

Other legacy medical identifiers of Alicia Mallare Neu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
756731600	MEDICAID	MD

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	6201 Greenleigh Ave Middle River, MD, 21220-2004 United States
Phone Number :	410-933-6423

Business Location:

Patients can refer following map for directions to Alicia Mallare Neu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.