MEDICARE: BEST MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1164874731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST MEDICAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 1165
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-7165
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2327 PULASKI HWY
Second Line	:
City	:	NORTH EAST
State	:	MD
Zip	:	21901-3706
Country	:	US
Telephone Number	:	443-945-9494
Fax Number	:	302-595-3149

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARYAM AWAN
Credential	:	MD
Telephone Number	:	410-398-0590

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	07/07/2016

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Directions to “BEST MEDICAL LLC ” Practice Location

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