Paradise Omhc
Psychiatry & Neurology, Psychiatry in Nottingham, MD. Organization (NPI-2).
NPI number1962250985
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1962250985
- Entity type
- Organization (NPI-2)
- Legal business name
- Paradise Omhc
- Organization subpart
- No
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
7902 Belair RdNottingham, MD 21236-3728
Phone 443-938-4401
Mailing address
7902 Belair RdNottingham, MD 21236-3728
Phone 443-938-4401
Authorized official
Leo Chernyakhovsky
Managing Partner
8772773710
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