Prohealth Primary Care Llc
Pediatrics
Prohealth Primary Care Llc is a Aberdeen, Maryland based Pediatric center with medical specialization in
General Pediatrics.
It is located at
115 W Bel Air Ave, Aberdeen, Maryland - 21001-3221. They can be contacted on phone at
410-272-3377 and fax number 410-273-1479.
NPI number (Unique professional ID) for Prohealth Primary Care Llc is
1982962692 which was assigned by NPPES on 01 May, 2012 and it was last updated on 01 May, 2012.
Prohealth Primary Care Llc license number is
D0059126 for Pediatrics (208000000X) in Maryland.
Prohealth Primary Care Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Prohealth Primary Care Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Prohealth Primary Care Llc |
|---|
Business Address:
Prohealth Primary Care Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 115 W Bel Air Ave
Aberdeen, MD, 21001-3221
United States |
|---|
| Phone Number : | 410-272-3377 |
|---|
| Fax Number : | 410-273-1479 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982962692 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 May, 2012 |
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| Last Updated On : | 01 May, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Nathaniel Sumilang |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PHYSICIAN/OWNER |
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| Phone Number : | 410-272-3377 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prohealth Primary Care Llc are as mentioned. Primary taxonomy code for Prohealth Primary Care Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | M38486 | MD |
| 208000000X | Pediatrics | Yes | D0059126 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Prohealth Primary Care Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 402019701 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 115 W Bel Air Ave
Aberdeen, MD, 21001-3221
United States |
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| Phone Number : | 410-272-3377 |
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| Fax Number : | 410-273-1479 |
|---|
Business Location:
Patients can refer following map for directions to
Prohealth Primary Care Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.