REVOLUTION MEDICAL CENTER
NPI 1700165818
Specialist in Havre De Grace, MD

Q: What is Kohli LLC's NPI number?

The NPI number for Kohli LLC is 1700165818. It was assigned to this organization in the NPPES registry on August 6, 2011. The provider is doing business as Revolution Medical Center.

Q: What is Kohli LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kohli LLC was last updated on August 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 06, 2011

603 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 942-1015(410) 942-1016 Get Directions Write a Review

NPPES record last updated: August 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revolution Medical Center NPPES

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

REVOLUTION MEDICAL CENTER (NPI 1700165818) is a healthcare organization registered as a specialist in Havre De Grace, Maryland and active in the NPI registry since August 2011. The organization lists Crystal Marie Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700165818

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKOHLI LLC

Location Address603 REVOLUTION STHavre De Grace, MD 21078-3319

Mailing Address603 Revolution StHavre De Grace, MD 21078-3319 · (410) 942-1015 · Fax (410) 942-1016

Phone(410) 942-1015

Fax(410) 942-1016

Organization SubpartNo

Authorized OfficialCrystal Marie MartinOffice Manager · (410) 942-1015

Enumeration DateAugust 6, 2011

✔ NPI 1700165818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in MD · D 71586✔ Licensed in MD · D 50806

Definition

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.

603 REVOLUTION ST, Havre De Grace, MD 21078

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Other Names 1

Doing Business AsRevolution Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT PAIN MANAGEMENT GROUP,INC

Anesthesiology (Pain Medicine)

603 REVOLUTION ST
HAVRE DE GRACE, MD 21078

Harford County (410) 942-1015

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 Kohli LLC's NPI number?

The NPI number for Kohli LLC is 1700165818. It was assigned to this organization in the NPPES registry on August 6, 2011. The provider is doing business as Revolution Medical Center.

Where is Kohli LLC located?

Kohli LLC is located at 603 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 942-1015.

What is Kohli LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kohli LLC was last updated on August 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.