| Paradise Omhc | |
|
7902 Belair Rd Nottingham MD 21236-3728 | |
| (443) 938-4401 | |
| Not Available |
| Full Name | Paradise Omhc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7902 Belair Rd, Nottingham, Maryland |
| Authorized Official Name and Position | Leo Chernyakhovsky (MANAGING PARTNER) |
| Authorized Official Contact | 8772773710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Omhc 7902 Belair Rd Nottingham MD 21236-3728 Ph: (443) 938-4401 | Paradise Omhc 7902 Belair Rd Nottingham MD 21236-3728 Ph: (443) 938-4401 |
| NPI Number | 1962250985 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962250985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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