Bay Area Pediatrics, Llc

LBN: Bay Area Pediatrics, Llc
Bay Area Pediatrics, Llc is an health care organization with primary practice located at 165 Log Canoe Cir Suite E, Stevensville MD 21666-2149. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Bay Area Pediatrics, Llc can be contacted via phone (410) 643-1000, or through Kalliongis, Demetrios James via phone (410) 643-2275.

Contact Information

Primary practice address
165 Log Canoe Cir Suite E Stevensville MD 21666-2149
Phone: (410) 643-1000
Fax: (410) 643-5200
Website:
Map and Directions
Authorized official contact:
Name: Kalliongis, Demetrios James Doctor of Medicine (MD)
Phone: (410) 643-2275

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0041579 Maryland

Profile Details

NPI number 1760649958
LBN Legal business name Bay Area Pediatrics, Llc
DBA Doing business as
Authorized official Kalliongis, Demetrios James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated May 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760649958 NPPES
Maryland MEDICAID 407327400

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