Heritage Pediatrics, Inc.

LBN: Heritage Pediatrics, Inc.
Heritage Pediatrics, Inc. is an health care organization with primary practice located at 1450 Mercantile Ln Suite #217, Largo MD 20774-5376. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Heritage Pediatrics, Inc. can be contacted via phone (301) 341-5000, or through Faditan, Babajide Eyitayo via phone (301) 341-5000.

Contact Information

Primary practice address
1450 Mercantile Ln Suite #217 Largo MD 20774-5376
Phone: (301) 341-5000
Fax: (301) 341-5001
Website:
Map and Directions
Authorized official contact:
Name: Faditan, Babajide Eyitayo Doctor of Medicine (MD)
Phone: (301) 341-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D74464 Maryland

Profile Details

NPI number 1972903201
LBN Legal business name Heritage Pediatrics, Inc.
DBA Doing business as
Authorized official Faditan, Babajide Eyitayo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2014
Last updated Jan 22nd, 2022 - 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 1972903201 NPPES
Maryland Other 1699087403 INDIVIDUAL NPI
Maryland MEDICAID 378100300 INDIVIDUAL NPI

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