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Contact Information

QLER PHYSICIAN MEDICAL GROUP, P.A.
4431 ADRIENNE CT
JEFFERSON, MD21755
 Phone: 240-285-5396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

General Practice

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

NPI Profile & details for QLER PHYSICIAN MEDICAL GROUP, P.A.

NPI Number 1841712254
LBN Legal business name QLER PHYSICIAN MEDICAL GROUP, P.A.
Authorized official DWAYNE NARAYAN - (CHIEF CLINICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2017
Last updated 06/30/2022 - About 4 years 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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