Kenneth Tellerman
MD | Pediatrics | Male
Kenneth Tellerman, MD is a Baltimore, Maryland based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kenneth Tellerman is
711 W 40th St Ste 438, Baltimore, Maryland - 21211-2199. He can be contacted on phone at
410-243-8632 and fax number 410-243-0470.
Kenneth Tellerman is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Tellerman is
1215924402 which was assigned by NPPES on 03 Oct, 2005 and it was last updated on 15 Sep, 2021.
Kenneth Tellerman license number is
D0025147 for Pediatrics (208000000X) in Maryland.
Kenneth Tellerman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kenneth Tellerman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kenneth Tellerman |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kenneth Tellerman 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 : | 711 W 40th St Ste 438
Baltimore, MD, 21211-2199
United States |
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| Phone Number : | 410-243-8632 |
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| Fax Number : | 410-243-0470 |
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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 : | 1215924402 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2005 |
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| Last Updated On : | 15 Sep, 2021 |
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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 Kenneth Tellerman are as mentioned. Primary taxonomy code for Kenneth Tellerman, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D0025147 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Tellerman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 350701700 | 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 : | 2416 Ken Oak Rd
Baltimore, MD, 21209-4310
United States |
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| Phone Number : | 410-664-6632 |
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| Fax Number : | 410-243-0470 |
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Business Location:
Patients can refer following map for directions to
Kenneth Tellerman 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.