Provider Demographics
NPI:1629129796
Name:A WOMANS CHOICE OB GYN LLC
Entity Type:Organization
Organization Name:A WOMANS CHOICE OB GYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-655-6900
Mailing Address - Street 1:5310 OLD COURT RD STE 305
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-6202
Mailing Address - Country:US
Mailing Address - Phone:410-655-6900
Mailing Address - Fax:410-655-5122
Practice Address - Street 1:5310 OLD COURT RD STE 305
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-6202
Practice Address - Country:US
Practice Address - Phone:410-655-6900
Practice Address - Fax:410-655-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD050984174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD741410200Medicaid
MDG35062Medicare UPIN
MD212N217GMedicare ID - Type Unspecified