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Contact Information

OPTIMAL PREVENTIVE MEDICINE, PLLC
2112 F STREET, NW
SUITE 501
WASHINGTON, DC20037
 Phone: 202-296-1438
 Fax: 202-296-1549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for OPTIMAL PREVENTIVE MEDICINE, PLLC

NPI # 1740550201
LBN Legal business name OPTIMAL PREVENTIVE MEDICINE, PLLC
Authorized official SYLVIA MEDLEY - (OWNER/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2011
Last updated 03/21/2012 - About 14 years ago
Identifiers
DC License # MD304445
Other 00199114007 UNITED HEALTH CARE
DC Other 4284019 AETNA
DC Other Y58800001 CAREFIRST BLUE CROSS BLUE SHIELD
DC Other 3850189 CIGNA
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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