Healthcare Provider Details

I. General information

NPI: 1124885942
Provider Name (Legal Business Name): ALL TIME PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 GALLANT FOX LN STE 223
BOWIE MD
20715-4033
US

IV. Provider business mailing address

14300 GALLANT FOX LN STE 223
BOWIE MD
20715-4033
US

V. Phone/Fax

Practice location:
  • Phone: 301-828-2655
  • Fax: 301-281-4002
Mailing address:
  • Phone: 301-828-2655
  • Fax: 301-281-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PRIYANKA MALHOTRA
Title or Position: OWNER
Credential:
Phone: 301-377-1836