Edward N. Bodurian, M.D., P.A.
LBN: Edward N. Bodurian, M.D., P.A.
Edward N. Bodurian, M.D., P.A. is an health care organization with primary practice located at 5530 Wisconsin Ave Suite 515, Chevy Chase MD 20815-4404. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Edward N. Bodurian, M.D., P.A. can be contacted via phone (301) 656-4064, or through Jones, Angela D via phone (301) 656-4064.
Contact Information
Primary practice address
5530 Wisconsin Ave Suite 515
Chevy Chase MD 20815-4404
Phone: (301) 656-4064
Fax: (301) 657-9561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1164544466 |
|---|---|
| LBN Legal business name | Edward N. Bodurian, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Jones, Angela D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164544466 | NPPES |
| Maryland | Other | A575 | CAREFIRST BLUE CROSS BLUE SHIELD |
| Maryland | Other | CD9109 | CAREFIRST BLUE CROSS BLUE SHIELD |
| Maryland | MEDICAID | 32331400 | CAREFIRST BLUE CROSS BLUE SHIELD |
| Maryland | MEDICAID | 445870 | CAREFIRST BLUE CROSS BLUE SHIELD |
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