Tida Healthcare Llc

LBN: Tida Healthcare Llc
Tida Healthcare Llc is an health care organization with primary practice located at 2209 Montauk Dr , Crofton MD 21114-3245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Tida Healthcare Llc can be contacted via phone (443) 570-7610, or through Konchou, Ida via phone (443) 570-7610.

Contact Information

Primary practice address
2209 Montauk Dr Crofton MD 21114-3245
Fax:
Website:
Authorized official contact:
Name: Konchou, Ida CRNP

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1902549728
LBN Legal business name Tida Healthcare Llc
DBA Doing business as
Authorized official Konchou, Ida CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2022
Last updated Jun 2nd, 2022 - about 3 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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