Healthcare Provider Details

I. General information

NPI: 1548687809
Provider Name (Legal Business Name): HOWARD COUNTY HOSPITALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 11/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10910 LITTLE PATUXENT PKWY STE 100
COLUMBIA MD
21044-3081
US

IV. Provider business mailing address

10910 LITTLE PATUXENT PKWY STE 100
COLUMBIA MD
21044-3081
US

V. Phone/Fax

Practice location:
  • Phone: 202-997-2310
  • Fax: 410-740-1253
Mailing address:
  • Phone: 202-997-2310
  • Fax: 410-740-1253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA A NYANJOM
Title or Position: ADMINISTRATOR
Credential:
Phone: 202-997-2310