Organization
BLOSSOMING MINDS PEDIATRICS
Active
Parent organization
BLOSSOMING MINDS PEDIATRICS
Other names
Culex Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOSSOMING MINDS PEDIATRICS
Authorized official
DR. KEYVAN RAFEI MD (MEDICAL DIRECTOR)
(240) 506-0739
Entity
Organization
Contact information
Practice address
13994 BALTIMORE AVE STE 101, LAUREL, MD 20707-5174
(410) 656-4775
Mailing address
11540 CHAPEL RISE, CLARKSVILLE, MD 21029-1464
(240) 506-0739
(410) 378-8327
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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