Provider Demographics
NPI:1235256769
Name:MILLENNIUME & REHAB
Entity Type:Organization
Organization Name:MILLENNIUME & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-430-0512
Mailing Address - Street 1:11141 GEORGIA AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4659
Mailing Address - Country:US
Mailing Address - Phone:240-430-0512
Mailing Address - Fax:
Practice Address - Street 1:11141 GEORGIA AVE STE 403
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4659
Practice Address - Country:US
Practice Address - Phone:240-430-0512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty