Provider Passport INC.
Health Maintenance Organization in Lewes, DE. Organization (NPI-2).
NPI number1174366124
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1174366124
- Entity type
- Organization (NPI-2)
- Legal business name
- Provider Passport INC.
- Organization subpart
- No
- Enumeration date
- Jun 17, 2024
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
16192 Coastal HwyLewes, DE 19958-3608
Phone 917-456-9261
Mailing address
16192 Coastal HwyLewes, DE 19958-3608
Phone 917-456-9261
Authorized official
Harman Dhawan
President
9174569261
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.