Miguel A Heredia, Md Pa

LBN: Miguel A Heredia, Md Pa
Miguel A Heredia, Md Pa is an health care organization with primary practice located at 413 Commonwealth Ave , Baltimore MD 21228-3044. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Miguel A Heredia, Md Pa can be contacted via phone (410) 788-6575, or through Heredia, Miguel Arquimedes via phone (410) 788-6575.

Contact Information

Primary practice address
413 Commonwealth Ave Baltimore MD 21228-3044
Phone: (410) 788-6575
Fax: (410) 744-1088
Website:
Map and Directions
Authorized official contact:
Name: Heredia, Miguel Arquimedes Doctor of Medicine (MD)
Phone: (410) 788-6575

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X D0004971 Maryland

Profile Details

NPI number 1659698827
LBN Legal business name Miguel A Heredia, Md Pa
DBA Doing business as
Authorized official Heredia, Miguel Arquimedes Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2010
Last updated Apr 28th, 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 1659698827 NPPES
Maryland MEDICAID 068121100

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