Organization · NPI-2

Athleticsmd

Anesthesiology · Laurel, MD

NPI number1689546830
StatusActive
Last updated in NPPESSep 18, 2025

Details

NPI
1689546830
Entity type
Organization (NPI-2)
Legal business name
Athleticsmd
Organization subpart
No
Enumeration date
Sep 18, 2025
Certification date
Sep 18, 2025
Last updated
Sep 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

3450 Fort Meade Rd Ste 110
Laurel, MD 20724-2070

Phone 844-348-6348 · Fax 410-995-9986

Mailing address

3450 Fort Meade Rd Ste 110
Laurel, MD 20724-2070

Phone 844-348-6348

Authorized official

Imaobong Chinedozi
Owner
8443486348

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