Provider Demographics
NPI:1801434568
Name:THE DOCS HERE LLC
Entity type:Organization
Organization Name:THE DOCS HERE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:AZRA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUSSAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-497-6927
Mailing Address - Street 1:PO BOX 1416
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-1416
Mailing Address - Country:US
Mailing Address - Phone:410-497-6927
Mailing Address - Fax:833-989-0960
Practice Address - Street 1:11602 GREENSPRING AVE
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-1410
Practice Address - Country:US
Practice Address - Phone:410-900-3792
Practice Address - Fax:410-774-5643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD52913OtherMARYLAND BOARD OF PHYSICIANS
OH162759OtherAMERICAN BOARD OF INTERNAL MEDICINE
BH9657365OtherDEA