NPI 1114314150

Med-Ped Healthcare, LLC

Organisation Preferred Provider Organization College Park, MD

Practice location

Address: 4701 Melbourne Pl, College Park, MD 20740-2540
Phone: (301) 345-4400
Fax: (301) 345-6200
Mailing address: 4701 Melbourne Place, College Park, MD 20740

Authorised official

Name: Jamal Fadul
Title: Owner
Phone: (301) 345-4400

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence D0053745 (MD)

Other Preferred Provider Organization providers in Maryland →

Registry record

NPI: 1114314150
Entity type: Organization
NPI issued: 16 Apr 2015
Record last updated: 16 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.