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Organization

BELITEHORIZONMEDICALCENTER

Active
Parent organization
BELITEHORIZONMEDICALCENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
BELITEHORIZONMEDICALCENTER
Authorized official
DR. CHIDEHA MACDONALD OHUOHA M.P.H. (PSYCHIATRIST)
(301) 630-4009
Entity
Organization

Contact information

Practice address
26825 POINTLOOK OUT ROAD, STEE, LEONARDTOWN, MD 20650
(301) 997-0125
(301) 997-0126
Mailing address
3704 26TH AVE, TEMPLE HILLS, MD 20748-3010
(301) 630-4009
(301) 630-6916

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
BC4178263
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160331100
MD
05
160331101
MD
Enumeration date
07/22/2010
Last updated
08/18/2010
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