OUTREACH MD LLC - NPI 1235584384 - Clinic/Center in Bowie, MD

Q: What is Outreach MD LLC's NPI number?

The NPI number for Outreach MD LLC is 1235584384. It was assigned to this organization in the NPPES registry on April 26, 2016.

Q: What is Outreach MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Outreach MD LLC was last updated on August 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Outreach Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH MD LLC (NPI 1235584384) is a healthcare organization registered as a clinic/center in Bowie, Maryland and active in the NPI registry since April 2016. The organization lists Ehsan Abdeshahian, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235584384

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameOUTREACH MD LLC

Location Address4201 NORTHVIEW DR, SUITE 501Bowie, MD 20716-2604

Mailing Address2124 4th Ave SBirmingham, AL 35233-2204 · (205) 279-8981

Phone(410) 220-1111

Organization SubpartNo

Authorized OfficialEhsan AbdeshahianMedical Director · (405) 306-0384

Enumeration DateApril 26, 2016

Last NPPES UpdateAugust 18, 20162 updates tracked since enumeration

✔ NPI 1235584384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4201 NORTHVIEW DR, Bowie, MD 20716

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