Jassi Primary Care Pa

LBN: Jassi Primary Care Pa
Jassi Primary Care Pa is an health care organization with primary practice located at 325 Hospital Dr Ste 205 , Glen Burnie MD 21061-5807. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jassi Primary Care Pa can be contacted via phone (443) 410-3161, or through Jassi, Kiran via phone (443) 410-3161.

Contact Information

Primary practice address
325 Hospital Dr Ste 205 Glen Burnie MD 21061-5807
Fax: (443) 410-3199
Website:
Authorized official contact:
Name: Jassi, Kiran

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1306310073
LBN Legal business name Jassi Primary Care Pa
DBA Doing business as
Authorized official Jassi, Kiran
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jul 9th, 2021 - about 5 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 1306310073 NPPES
Maryland MEDICAID 68100400

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