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PERSONAL PHYSICIAN CARE LLC NPI 1326274853


NPI Information

NPI: 1326274853
Provider Name: PERSONAL PHYSICIAN CARE, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6334 CEDAR LN STE 103
COLUMBIA, MD
ZIP 21044
Phone: (410) 531-2355
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PERSONAL PHYSICIAN CARE, LLC is a specialist in Columbia, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PERSONAL PHYSICIAN CARE, LLC NPI is 1326274853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6334 CEDAR LN STE 103
COLUMBIA, MD
ZIP 21044-898
Phone: (410) 531-2355

The provider's authorized official is Andy Lazris .
The authorized official title is President and has the following contact phone number (443) 386-3381.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 10/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD47447MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1153020ZDTSMEDICARE PIN
2008203100MEDICAIDMARYLAND
3DPC6ALOTHERBCBS
4KG01ER 53498303OTHERCAREFIRST BCBS
5380651100MEDICAIDMARYLAND
604-03155OTHEREVERCARE
7110181124MEDICARE PIN
89860CMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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