Radiance Dermatology Llc

LBN: Radiance Dermatology Llc
Radiance Dermatology Llc is an health care organization with primary practice located at 10215 Fernwood Rd Ste 414 , Bethesda MD 20817-1191. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Radiance Dermatology Llc can be contacted via phone (301) 430-4000, or through Olowoyeye, Omolara via phone (301) 430-4000.

Contact Information

Primary practice address
10215 Fernwood Rd Ste 414 Bethesda MD 20817-1191
Phone: (301) 430-4000
Fax: (301) 430-4040
Website:
Map and Directions
Authorized official contact:
Name: Olowoyeye, Omolara Doctor of Medicine (MD)
Phone: (301) 430-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1184283640
LBN Legal business name Radiance Dermatology Llc
DBA Doing business as
Authorized official Olowoyeye, Omolara Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - 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 1184283640 NPPES
Maryland Other D0081771 MEDICAL LICENSE

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