Provider Demographics
NPI:1477050185
Name:ICONTROLMYHEALTH, INC.
Entity Type:Organization
Organization Name:ICONTROLMYHEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-421-1438
Mailing Address - Street 1:530 ATLANTIC AVE APT 512
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-2237
Mailing Address - Country:US
Mailing Address - Phone:301-200-2480
Mailing Address - Fax:
Practice Address - Street 1:530 ATLANTIC AVE APT 512
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-2237
Practice Address - Country:US
Practice Address - Phone:301-200-2480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health