Park Heights Medical Clinic Llc in Baltimore - Family Medicine

Park Heights Medical Clinic Llc - NPI 1639101462

Park Heights Medical Clinic Llc is a Family Medicine in Baltimore, Maryland. Park Heights Medical Clinic Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Park Heights Medical Clinic Llc is 1639101462. The last update date is 2020-04-10.

Park Heights Medical Clinic Llc's current location address is 4340 Park Heights Ave, Baltimore, Maryland. You can contact this provider via phone number 4105428130 and fax number 4105421826. The mailing address for Park Heights Medical Clinic Llc is 4340 Park Heights Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Park Heights Medical Clinic Llc
Address 4340 Park Heights Ave, Baltimore, Maryland
Phone Number 4105428130
Fax Number 4105421826
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Seunarine M Jai
Telephone Number 4104332200

NPI Number Detail

NPI Number 1639101462
Provider Enumeration Date 2006-07-06
Last Updated Date 2020-04-10

Provider Mailing Address Detail

Address 4340 Park Heights Ave
City Baltimore
State Maryland (MD)
Post Code 212156725
Phone Number 4105428130
Fax Number 4105421826

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No DOO14391
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K614PA MD BLUECROSS/BLUESHEILD MD
69231000 MD --
1347 MD JAI MEDICAL SYSTEM MCO

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FAQs about Park Heights Medical Clinic Llc

What is the Park Heights Medical Clinic Llc's 1639101462?

The Park Heights Medical Clinic Llc's NPI (National Provider Identifier) Number is 1639101462. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Park Heights Medical Clinic Llc's physical address?

The Park Heights Medical Clinic Llc is physically located at 4340 Park Heights Ave, in the city of Baltimore, MD, with the postal code 212156725.

What is Park Heights Medical Clinic Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Park Heights Medical Clinic Llc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

When was the Park Heights Medical Clinic Llc's 1639101462 issued?

The Park Heights Medical Clinic Llc's 1639101462 was issued on 2006-07-06.

As of what date were the details pertaining to Park Heights Medical Clinic Llc last refreshed?

The information related to the Park Heights Medical Clinic Llc, including its address, specialty, and other relevant details, was last updated on 2020-04-10.

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