Internal Medicine Practice, P.A.

LBN: Internal Medicine Practice, P.A.
Internal Medicine Practice, P.A. is an health care organization with primary practice located at 324 E Antietam St Ste 306 , Hagerstown MD 21740-5768. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Internal Medicine Practice, P.A. can be contacted via phone (301) 739-0240, or through Peprah, Koduah via phone (301) 996-7900.

Contact Information

Primary practice address
324 E Antietam St Ste 306 Hagerstown MD 21740-5768
Phone: (301) 739-0240
Fax: (301) 797-8546
Website:
Map and Directions
Authorized official contact:
Name: Peprah, Koduah Doctor of Medicine (MD)
Phone: (301) 996-7900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1336231950
LBN Legal business name Internal Medicine Practice, P.A.
DBA Doing business as
Authorized official Peprah, Koduah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Feb 6th, 2012 - about 12 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 1336231950 NPPES
Maryland MEDICAID 336619700

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