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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

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

NPI Number 1982560264
LBN Legal business name MIND -BODY SYNERGY MEDICAL SERVICES LLC
Authorized official MUTAHIRA BUTT - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2025
Last updated 12/30/2025 - About 5 months ago
Identifiers n/a
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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