T Joe Wongananda Dpm Pa
LBN: T Joe Wongananda Dpm Pa
T Joe Wongananda Dpm Pa is an health care organization with primary practice located at 806 Landmark Dr Ste 128 - 129, Glen Burnie MD 21061-4966. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
T Joe Wongananda Dpm Pa can be contacted via phone (443) 926-9147, or through Wongananda, Taan Joe via phone (443) 926-9147.
Contact Information
Primary practice address
806 Landmark Dr Ste 128 - 129
Glen Burnie MD 21061-4966
Phone: (443) 926-9147
Fax: (443) 926-9151
Website:
Authorized official contact:
Name: Wongananda, Taan Joe Doctor of Podiatric Medicine (DPM)
Phone: (443) 926-9147
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 01281 | Maryland |
Profile Details
| NPI number | 1780886549 |
|---|---|
| LBN Legal business name | T Joe Wongananda Dpm Pa |
| DBA Doing business as | |
| Authorized official | Wongananda, Taan Joe Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | May 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780886549 | NPPES |
| Maryland | Other | 1982786844 | MY INDIVIDUAL NPI |
| Maryland | MEDICAID | 166603700 | MY INDIVIDUAL NPI |
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