Organization
MEDISPEC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL DHINGRA (VICE PRESIDENT & COO)
(301) 944-1575
Entity
Organization
Contact information
Practice address
20410 OBSERVATION DR, SUITE 102, GERMANTOWN, MD 20876-4000
(301) 944-1575
(301) 972-6098
Mailing address
20410 OBSERVATION DR, SUITE 102, GERMANTOWN, MD 20876-4000
(301) 944-1575
(301) 972-6098
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
M342R
MD
261QP1100X
Podiatric Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084
GHMSI PROVIDER NUMBER
MD
01
—
TN
CAREFIRST OF MARYLAND
MD
Enumeration date
04/23/2007
Last updated
01/29/2008
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