National Provider Identifier Database

MIND BODY SYNERGY MEDICAL SERVICES LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

MIND -BODY SYNERGY MEDICAL SERVICES LLC
7153 RIVERS EDGE ROAD
COLUMBIA, MD21044
Phone: 443-545-1752
Fax: 443-545-1752
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for MIND -BODY SYNERGY MEDICAL SERVICES LLC

NPI Number 1982560264
Legal business name
LBN
MIND -BODY SYNERGY MEDICAL SERVICES LLC
Authorized official MUTAHIRA BUTT - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 12/30/2025
Last updated 12/30/2025 - About 5 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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