Provider Demographics
NPI:1093948002
Name:KMH HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:KMH HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:BSC, MRT (N)
Authorized Official - Phone:905-855-1860
Mailing Address - Street 1:1498 REISTERSTOWN RD
Mailing Address - Street 2:BOX 364
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3817
Mailing Address - Country:US
Mailing Address - Phone:877-564-5227
Mailing Address - Fax:410-628-1261
Practice Address - Street 1:4B NORTH AVE
Practice Address - Street 2:SUITES 300 & 302
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2329
Practice Address - Country:US
Practice Address - Phone:877-564-5227
Practice Address - Fax:877-564-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD200875Medicare PIN