Provider Demographics
NPI:1619614724
Name:EZ PRIMED LLC
Entity Type:Organization
Organization Name:EZ PRIMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:YOUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMINFAR
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:347-232-3313
Mailing Address - Street 1:2219 YORK RD STE 106
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3174
Mailing Address - Country:US
Mailing Address - Phone:410-453-0002
Mailing Address - Fax:410-453-0380
Practice Address - Street 1:2219 YORK RD STE 106
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3174
Practice Address - Country:US
Practice Address - Phone:410-453-0002
Practice Address - Fax:410-453-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty