Organization
MEDIQUEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE NELMA MAHIPAT D.C. (VICE-PRESIDENT)
(410) 655-8900
Entity
Organization
Contact information
Practice address
5310 OLD COURT RD, SUITE 301, RANDALLSTOWN, MD 21133-5243
(410) 655-8900
(410) 655-0498
Mailing address
5310 OLD COURT RD, SUITE 301, RANDALLSTOWN, MD 21133-5243
(410) 655-8900
(410) 655-0498
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02090
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101943
PRIORITY PARTNERS AND EHP
MD
01
—
354462
AETNA HMO
MD
01
—
423886
MAMSI INTERNAL MEDICINE
MD
01
—
42630
MAMSI
MD
01
—
4393773
AETNA PPO
MD
01
—
523886
MAMSI ENDOCRINOLOGY
MD
01
—
666069
CAN GROUP
MD
01
—
7491554
AETNA
MD
Enumeration date
02/16/2007
Last updated
08/22/2020
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