Med-Ped Healthcare, Llc

LBN: Med-Ped Healthcare, Llc
Med-Ped Healthcare, Llc is an health care organization with primary practice located at 4701 Melbourne Pl , College Park MD 20740-2540. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Med-Ped Healthcare, Llc can be contacted via phone (301) 345-4400, or through Fadul, Jamal via phone (301) 345-4400.

Contact Information

Primary practice address
4701 Melbourne Pl College Park MD 20740-2540
Phone: (301) 345-4400
Fax: (301) 345-6200
Website:
Map and Directions
Authorized official contact:
Name: Fadul, Jamal Doctor of Medicine (MD)
Phone: (301) 345-4400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X D0053745 Maryland

Profile Details

NPI number 1114314150
LBN Legal business name Med-Ped Healthcare, Llc
DBA Doing business as
Authorized official Fadul, Jamal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2015
Last updated Apr 16th, 2015 - about 9 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 1114314150 NPPES
Maryland Other G00445 MEDICARE PTAN

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