MD Behavioral Health LLC
Internal Medicine in Takoma Park, MD. Organization (NPI-2).
NPI number1740059005
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1740059005
- Entity type
- Organization (NPI-2)
- Legal business name
- MD Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2023
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
7610 Carroll Ave Ste 360Takoma Park, MD 20912-6323
Phone 301-249-8100 · Fax 301-390-8086
Mailing address
4000 Mitchellville Rd Ste A414Bowie, MD 20716-3142
Phone 301-249-8100 · Fax 301-390-8086
Authorized official
Ayokunle Oluleye
Manger
4437565092
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