Bel Air Pediatric Center Havre De Grace Pediatric Center

LBN: Gomez Yim & Rastogi, M.D., P.A.
Bel Air Pediatric Center Havre De Grace Pediatric Center is an health care organization with primary practice located at 602 S. Atwood Road Suite 104, Bel Air MD 21014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Gomez Yim & Rastogi, M.D., P.A. can be contacted via phone (410) 838-9555, or through Yim, Robert Phillip via phone (410) 838-9555.

Contact Information

Primary practice address
602 S. Atwood Road Suite 104 Bel Air MD 21014
Fax: (410) 836-5056
Website:
Authorized official contact:
Name: Yim, Robert Phillip Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1407980717
LBN Legal business name Gomez Yim & Rastogi, M.D., P.A.
DBA Doing business as Bel Air Pediatric Center Havre De Grace Pediatric Center
Authorized official Yim, Robert Phillip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated May 4th, 2020 - about 4 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 1407980717 NPPES
Maryland MEDICAID 226381500

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