Organization
PARK HEIGHTS MEDICAL CLINIC LLC
Active
Other names
JAI MEDICAL CENTER, JAI MEDICAL CENTER/ PARK HEIGHTS
Organization subpart
No
Provider details
NPI number
Authorized official
JAI M SEUNARINE (CEO)
(410) 433-2200
Entity
Organization
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(410) 542-8130
(410) 542-1826
Mailing address
5010 YORK RD, BALTIMORE, MD 21212-4437
(410) 433-2200
(410) 532-7246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069231000
—
MD
01
—
1347
JAI MEDICAL SYSTEM MCO
MD
01
—
K614PA
BLUECROSS/BLUESHEILD MD
MD
Enumeration date
07/06/2006
Last updated
05/05/2025
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