Outreach Md Llc

LBN: Outreach Md Llc
Outreach Md Llc is an health care organization with primary practice located at 4201 Northview Dr Suite 501, Bowie MD 20716-2604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Outreach Md Llc can be contacted via phone (410) 220-1111, or through Abdeshahian, Ehsan via phone (405) 306-0384.

Contact Information

Primary practice address
4201 Northview Dr Suite 501 Bowie MD 20716-2604
Phone: (410) 220-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abdeshahian, Ehsan Doctor of Medicine (MD)
Phone: (405) 306-0384

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1235584384
LBN Legal business name Outreach Md Llc
DBA Doing business as
Authorized official Abdeshahian, Ehsan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2016
Last updated Aug 18th, 2016 - about 10 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 1235584384 NPPES
Maryland MEDICAID 0714704

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