NPI 1154581858

Starlight Health Services LLC

Organisation Exclusive Provider Organization Bowie, MD

Practice location

Address: 12656 Heming Ln, Bowie, MD 20716-1119
Phone: (240) 782-0094
Mailing address: 12656 Heming Lane, Bowie, MD 20716

Authorised official

Name: Daniel Zinkeng Asonganyi
Title: Chief Executive Officer
Phone: (240) 782-0094

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Maryland →

Registry record

NPI: 1154581858
Entity type: Organization
NPI issued: 16 Jun 2008
Record last updated: 16 Jun 2008

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.