Maryland Healthcare Pc

LBN: Maryland Healthcare Pc
Maryland Healthcare Pc is an health care organization with primary practice located at 4155 Glen Park Rd , Nottingham MD 21236-1019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Maryland Healthcare Pc can be contacted via phone (410) 248-0661, or through Tampus, Greg Victor Igot via phone (410) 248-0661.

Contact Information

Primary practice address
4155 Glen Park Rd Nottingham MD 21236-1019
Phone: (410) 248-0661
Fax: (443) 219-9771
Website:
Map and Directions
Authorized official contact:
Name: Tampus, Greg Victor Igot Doctor of Medicine (MD)
Phone: (410) 248-0661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0076580 Maryland

Profile Details

NPI number 1952732430
LBN Legal business name Maryland Healthcare Pc
DBA Doing business as
Authorized official Tampus, Greg Victor Igot Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2013
Last updated Nov 15th, 2018 - about 6 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 1952732430 NPPES
Virginia MEDICAID 1356679138

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