Organization
HEALTHCARE EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD OBAZEE M.D. (DIRECTOR - CO-OWNER)
(410) 206-3839
Entity
Organization
Contact information
Practice address
8507 LIBERTY RD, SUITE L1, RANDALLSTOWN, MD 21133-4833
(410) 496-9105
(410) 496-9109
Mailing address
8507 LIBERTY RD, SUITE L1, RANDALLSTOWN, MD 21133-4833
(410) 496-9105
(410) 496-9109
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10434322
CAQH
MD
01
—
1194772905
NPI - PERSONAL
MD
05
—
13861800
—
MD
01
—
1811964133
NPI PERSONAL
MD
05
—
479931300
—
MD
01
—
D0034730
MEDICAL LICENSE
MD
01
—
D41430
LICENSE
MD
01
—
M26728
STATE CONTROLLED SUBSTANCE
MD
01
—
M37304
STATE CONTROLLED SUBSTANCE
MD
Enumeration date
10/28/2011
Last updated
03/07/2023
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