# MED-PED HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336296730
- **Authorized official:** DR. JAMAL FADUL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 441-4400

## Contact information

- **Practice address:** 6201 GREENBELT RD, SUITE M16, BERWYN HEIGHTS, MD 20740-2354
- **Practice address phone:** (301) 441-4400
- **Practice address fax:** (301) 441-3008
- **Mailing address:** 6201 GREENBELT RD, SUITE M-16, BERWYN HEIGHTS, MD 20740-2354
- **Mailing address phone:** (301) 441-4400
- **Mailing address fax:** (301) 441-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 12/18/2023