Organization
ISA HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA LOWTAN M.D. (PROGRAM DIRECTOR)
(410) 990-1811
Entity
Organization
Contact information
Practice address
8965 GUILFORD RD, SUITE 150, COLUMBIA, MD 21046-2384
(410) 290-8800
(410) 290-8870
Mailing address
420 CHINQUAPIN ROUND RD, I-2, ANNAPOLIS, MD 21401-4006
(410) 990-1811
(410) 990-0081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0058483
MD
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0058483
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403435002
—
MD
Enumeration date
04/06/2011
Last updated
04/20/2012
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