Adult And Pediatric Clinic, Pc

LBN: Adult And Pediatric Clinic, Pc
Adult And Pediatric Clinic, Pc is an health care organization with primary practice located at 14816 Physicians Ln Suite 152, Rockville MD 20850-3944. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Adult And Pediatric Clinic, Pc can be contacted via phone (240) 453-0000, or through Mittal, Shama via phone (240) 453-0000.

Contact Information

Primary practice address
14816 Physicians Ln Suite 152 Rockville MD 20850-3944
Phone: (240) 453-0000
Fax: (240) 453-0089
Website:
Map and Directions
Authorized official contact:
Name: Mittal, Shama Doctor of Medicine (MD)
Phone: (240) 453-0000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0061382 Maryland

Profile Details

NPI number 1497935605
LBN Legal business name Adult And Pediatric Clinic, Pc
DBA Doing business as
Authorized official Mittal, Shama Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2007
Last updated May 14th, 2008 - about 17 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 1497935605 NPPES
Maryland MEDICAID 002543700

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