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Contact Information

MED-PED HEALTHCARE, LLC
4701 MELBOURNE PL
COLLEGE PARK, MD20740-2540
 Phone: 301-345-4400
 Fax: 301-345-6200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MED-PED HEALTHCARE, LLC

NPI Number 1114314150
LBN Legal business name MED-PED HEALTHCARE, LLC
Authorized official JAMAL FADUL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2015
Last updated 04/16/2015 - About 11 years ago
Identifiers
MD License # D0053745
MD Other G00445 MEDICARE PTAN
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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