MID ATLANTIC ADDICTION MEDICINE – NPI #1396154290
Anesthesiology

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

MID ATLANTIC ADDICTION MEDICINE is an anesthesiologist located in MILLERSVILLE, MD. NPPES has assigned the NPI number 1396154290 to MID ATLANTIC ADDICTION MEDICINE on August 05, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LA0401X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID ATLANTIC ADDICTION MEDICINE below.

NPI Profile for
MID ATLANTIC ADDICTION MEDICINE

NPI Number
1396154290
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID ATLANTIC ADDICTION MEDICINE
Primary location
1110 BENFIELD BLVD
SUITE J
MILLERSVILLE, MD 21108-2639
Phone: (410) 923-1382 Fax:
Mailing address
1125 MADISON ST
APT 314
ALEXANDRIA, VA 22314-6409
Phone: Fax:
Organization Subpart
No
Authorized Official
EHSAN ABDESHAHIAN
PRESIDENT
Phone: (405) 306-0384
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LA0401X
- Anesthesiology / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.