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Contact Information

PREMIERE HEALTH MANAGEMENT
3200 TOWER OAKS BLVD
SUITE 100
NORTH BETHESDA, MD20852-4216
 Phone: 301-770-1711
 Fax: 301-770-1624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PREMIERE HEALTH MANAGEMENT

NPI Number 1235367301
LBN Legal business name PREMIERE HEALTH MANAGEMENT
Authorized official SANJAY PRASAD - (OWNER/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2009
Last updated 06/29/2009 - About 17 years ago
Identifiers
MD License # D0055302
DC Medicaid 4409810
MD Medicaid 660309200
VA Medicaid 5702801
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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