Provider Demographics
NPI:1629361274
Name:HEALTH PROVIDER MANAGEMENT, LLC
Entity Type:Organization
Organization Name:HEALTH PROVIDER MANAGEMENT, LLC
Other - Org Name:MY DOCTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CDO
Authorized Official - Prefix:MR
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-653-3215
Mailing Address - Street 1:177 SAINT PATRICKS DR
Mailing Address - Street 2:STE 101
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:177 SAINT PATRICKS DR
Practice Address - Street 2:STE 101
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5533
Practice Address - Country:US
Practice Address - Phone:301-653-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care