Maryland Oncology Hematology P.A.

LBN: Maryland Oncology Hematology P.A.
Maryland Oncology Hematology P.A. is an health care organization with primary practice located at 10710 Charter Drive Suite G020, Columbia MD 21044-3257. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Maryland Oncology Hematology P.A. can be contacted via phone (410) 964-2212, or through Koutrelakos, Nicholas W via phone (410) 964-2212.

Contact Information

Primary practice address
10710 Charter Drive Suite G020 Columbia MD 21044-3257
Phone: (410) 964-2212
Fax: (410) 964-0380
Website:
Map and Directions
Authorized official contact:
Name: Koutrelakos, Nicholas W Doctor of Medicine (MD)
Phone: (410) 964-2212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1396710703
LBN Legal business name Maryland Oncology Hematology P.A.
DBA Doing business as
Authorized official Koutrelakos, Nicholas W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2006
Last updated Dec 7th, 2010 - about 16 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 1396710703 NPPES
Maryland MEDICAID 400899500

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