Organization
MEK MEDICAL STAFFING & SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS K MAMO M.D. (PHYSICIAN)
(301) 552-5696
Entity
Organization
Contact information
Practice address
11890 HEALING WAY, SILVER SPRING, MD 20904-7917
(443) 964-5950
Mailing address
13339 MOONLIGHT TRAIL DR, SILVER SPRING, MD 20906-6700
(443) 964-5950
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0064866
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061523800
—
DC
05
—
414132600
—
MD
01
—
92199401
BLUE CROSS BLUE SHIELD
MD
01
—
U4560001
BLUE CROSS BLUE SHIELD
DC
Enumeration date
05/21/2009
Last updated
07/14/2021
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