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BLOSSOMING MINDS PEDIATRICS
NPI 1538779509
Pediatrics in Clarksville, MD

Active since August 05, 2020
11723 TROTTER CROSSING LN, CLARKSVILLE, MD 21029(240) 506-0739 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blossoming Minds Pediatrics NPPES

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

BLOSSOMING MINDS PEDIATRICS (NPI 1538779509) is a healthcare organization registered as a pediatrics in Clarksville, Maryland and active in the NPI registry since August 2020. The organization lists Keyvan Rafei, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538779509
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLOSSOMING MINDS PEDIATRICS
Location Address11723 TROTTER CROSSING LNClarksville, MD 21029-1445
Mailing Address11723 Trotter Crossing LnClarksville, MD 21029-1445 · (240) 506-0739
Phone(240) 506-0739
Organization SubpartNo
Authorized OfficialKeyvan RafeiMedical Director · (240) 506-0739
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1538779509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician 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.
11723 TROTTER CROSSING LN, Clarksville, MD 21029
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossoming Minds Pediatrics's NPI number?

The NPI number for Blossoming Minds Pediatrics is 1538779509. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is Blossoming Minds Pediatrics located?

Blossoming Minds Pediatrics is located at 11723 Trotter Crossing Ln, Clarksville, MD 21029. The listed phone number is (240) 506-0739.

What is Blossoming Minds Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Blossoming Minds Pediatrics was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.