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Contact Information

TIDA HEALTHCARE LLC
2209 MONTAUK DR
CROFTON, MD21114-3245
 Phone: 240-305-7446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Mental Health

101YM0800X
 

Neurology

2084N0400X 13 Physician/Neurology
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TIDA HEALTHCARE LLC · (Female)

NPI # 1629768775
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2023
Last updated 05/11/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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