Provider Demographics
NPI:1932638251
Name:OCYON REGENERATIVE MEDICINE, LLC
Entity Type:Organization
Organization Name:OCYON REGENERATIVE MEDICINE, LLC
Other - Org Name:OCYON INTERVENTIONAL REGENERATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-676-0116
Mailing Address - Street 1:15204 CANDYTUFT LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1541
Mailing Address - Country:US
Mailing Address - Phone:443-676-0116
Mailing Address - Fax:
Practice Address - Street 1:15204 CANDYTUFT LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1541
Practice Address - Country:US
Practice Address - Phone:443-676-0116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty