M. Michael Massumi, M.D., P.A.

LBN: M. Michael Massumi, M.D., P.A.
M. Michael Massumi, M.D., P.A. is an health care organization with primary practice located at 660 Kenilworth Dr Ste 200, Towson MD 21204-2313. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. M. Michael Massumi, M.D., P.A. can be contacted via phone (410) 825-5905, or through Massumi, Mehrdad Michael via phone (410) 825-5905.

Contact Information

Primary practice address
660 Kenilworth Dr Ste 200 Towson MD 21204-2313
Phone: (410) 825-5905
Fax: (410) 825-7712
Website:
Map and Directions
Authorized official contact:
Name: Massumi, Mehrdad Michael Doctor of Medicine (MD)
Phone: (410) 825-5905

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X D0032831 Maryland

Profile Details

NPI number 1295065407
LBN Legal business name M. Michael Massumi, M.D., P.A.
DBA Doing business as
Authorized official Massumi, Mehrdad Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2010
Last updated Jan 11th, 2010 - about 14 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 1295065407 NPPES
Other 4133322 AETNA
Other 40162901 AETNA
Other E6580000 AETNA
Other 025221 AETNA
Other 2300832 AETNA
Other 2300008 AETNA
Other 25933 AETNA
Other 25933 AETNA
Other 4422MM AETNA
MEDICAID 091911000 AETNA
Other 25933 AETNA
Other 03818011 AETNA
Other 25933 AETNA
Other 426194 AETNA

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