Provider Demographics
NPI:1457828469
Name:OASIS WOMEN'S CENTER LLC
Entity Type:Organization
Organization Name:OASIS WOMEN'S CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:RUPEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BAXI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-616-3937
Mailing Address - Street 1:7500 GREENWAY CENTER DR STE 1120
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3563
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7500 GREENWAY CENTER DR STE 1120
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3563
Practice Address - Country:US
Practice Address - Phone:313-879-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-28
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty