National Provider Identifier Database

ADVANCED TELE CLINIC
Family


Contact Information

ADVANCED TELE CLINIC
6301 IVY LN STE 414
GREENBELT, MD20770-6357
Phone: 240-930-7466
Fax: 240-692-0126
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED TELE CLINIC

NPI Number 1902594179
Legal business name
LBN
ADVANCED TELE CLINIC
Authorized official BANIS GITHINJI - (DNP)
Entity Organization
Organization subpart No
Enumeration date 04/26/2023
Last updated 08/11/2025 - About 10 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.

Reviews for ADVANCED TELE CLINIC

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