Provider Demographics
NPI:1447341110
Name:INSTITUTE FOR ASTHMA AND ALLERGY P.C.
Entity type:Organization
Organization Name:INSTITUTE FOR ASTHMA AND ALLERGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASARAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-962-5800
Mailing Address - Street 1:11002 VEIRS MILL RD
Mailing Address - Street 2:414
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2574
Mailing Address - Country:US
Mailing Address - Phone:301-962-5800
Mailing Address - Fax:301-962-9585
Practice Address - Street 1:11002 VEIRS MILL RD
Practice Address - Street 2:414
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-2574
Practice Address - Country:US
Practice Address - Phone:301-962-5800
Practice Address - Fax:301-962-9585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKP19INOtherCAREFIRST OF MARYLAND
MD5612207OtherAETNA
MDKP19INOtherCAREFIRST OF MARYLAND