WEIGHTLOSS & SLEEP DISORDER CENTER OF MARYLAND LLC


Address: 1110 Opal Ct Ste 4&5, Hagerstown, MD 21740-5942
Phone: 3017456392

WEIGHTLOSS & SLEEP DISORDER CENTER OF MARYLAND LLC (NPI# 1245743202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245743202
Entity Type Organization
Organization Name WEIGHTLOSS & SLEEP DISORDER CENTER OF MARYLAND LLC
Practice Address 1110 Opal Ct Ste 4&5
Hagerstown
MD 21740-5942
Mailing Address 2105 Twin Peaks Ct
Frederick
MD 21702-5916
Practice Telephone 3017456392
Enumeration Date 2017-11-13
Last Update Date 2018-05-07
Authorized Official Name DR. MOHAMMAD JAWAD MIRAN (MEMBER)
Authorized Official Telephone 5168104496
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
H0083539 MD Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
H0083539 MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0098990 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
12800 Middlebrook Rd, Germantown, MD 208745204 5168104496
1701 Howell Rd, Hagerstown, MD 217406638 5168104496

Office Location

Street Address 1110 OPAL CT STE 4&5
City HAGERSTOWN
State MD
Zip Code 21740-5942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700824125 Mohammad Miran Internal Medicine 1110 Opal Ct Ste 4&5, Hagerstown, MD 21740-5942 2006-06-04

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497139380 Change Health Systems, Inc Clinic/Center 7 N Potomac St, Hagerstown, MD 21740-4805 2015-07-10
1366855017 After Hours Pediatrics Clinic/Center 186 Eastern Blvd N, Hagerstown, MD 21740-5843 2014-06-10
1821370644 Allegeny Medical LLC Clinic/Center 324 East Antietam Str., Suite 305, Hagerstown, MD 21740-5768 2011-09-19
1790860898 Vasant Datta Md LLC Clinic/Center 9727 Pembroke Dr, Hagerstown, MD 21740-1568 2006-10-26
1952765901 Concentra Primary Care Pa Clinic/Center 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 2016-04-06
1578989216 Wells House Inc Clinic/Center 124 E Baltimore St, Hagerstown, MD 21740-6104 2014-03-05
1922370121 Jeffrey D. Hurwitz, Md LLC Clinic/Center 265 Mill St, Suite 600, Hagerstown, MD 21740-6130 2012-02-02
1639208994 The Children's Doctor Clinic/Center 319 E Antietam St, Hagerstown, MD 21740-5701 2007-03-05
1336231950 Internal Medicine Practice, P.a. Clinic/Center 324 E Antietam St Ste 306, Hagerstown, MD 21740-5768 2006-09-29
1912965997 Hagerstown Pediatrics Clinic/Center 363 S Cleveland Ave, Suite 201, Hagerstown, MD 21740-5747 2006-05-01
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Competitor

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City HAGERSTOWN
Zip Code 21740

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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