Matrix House Physicians Pa

LBN: Matrix House Physicians Pa
Matrix House Physicians Pa is an health care organization with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3595. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Matrix House Physicians Pa can be contacted via phone (301) 552-8118, or through Kovalchuk, Nadehzda via phone (301) 552-8118.

Contact Information

Primary practice address
8118 Good Luck Rd Lanham MD 20706-3595
Phone: (301) 552-8118
Fax: (301) 498-3074
Website:
Map and Directions
Authorized official contact:
Name: Kovalchuk, Nadehzda Doctor of Medicine (MD)
Phone: (301) 552-8118

Health care specialties

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

Profile Details

NPI number 1780631556
LBN Legal business name Matrix House Physicians Pa
DBA Doing business as
Authorized official Kovalchuk, Nadehzda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Nov 14th, 2011 - 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 1780631556 NPPES
District of Columbia Other G479 BCBS GROUP PROVIDER #
District of Columbia Other LL77MA BCBS GROUP PROVIDER #
District of Columbia MEDICAID 055700500 BCBS GROUP PROVIDER #

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