Matrix House Physicians Pa
LBN: Matrix House Physicians Pa
Matrix House Physicians Pa is an health care organization with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3595. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Matrix House Physicians Pa can be contacted via phone (301) 552-8118, or through Kovalchuk, Nadehzda via phone (301) 552-8118.
Contact Information
Primary practice address
8118 Good Luck Rd
Lanham MD 20706-3595
Phone: (301) 552-8118
Fax: (301) 498-3074
Website:
Authorized official contact:
Name: Kovalchuk, Nadehzda Doctor of Medicine (MD)
Phone: (301) 552-8118
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1780631556 |
|---|---|
| LBN Legal business name | Matrix House Physicians Pa |
| DBA Doing business as | |
| Authorized official | Kovalchuk, Nadehzda Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 14th, 2011 - about 15 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 | 1780631556 | NPPES |
| District of Columbia | Other | G479 | BCBS GROUP PROVIDER # |
| District of Columbia | Other | LL77MA | BCBS GROUP PROVIDER # |
| District of Columbia | MEDICAID | 055700500 | BCBS GROUP PROVIDER # |
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