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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 Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED TELE CLINIC

NPI # 1902594179
LBN Legal business name ADVANCED TELE CLINIC
Authorized official BANIS GITHINJI - (DNP)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2023
Last updated 08/11/2025 - About 10 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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