Healthcare Provider Details

I. General information

NPI: 1275953960
Provider Name (Legal Business Name): MINDE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11214 OLD GEORGETOWN RD
NORTH BETHESDA MD
20852-3202
US

IV. Provider business mailing address

11214 OLD GEORGETOWN RD
NORTH BETHESDA MD
20852-3202
US

V. Phone/Fax

Practice location:
  • Phone: 240-506-7027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: ERIC ZHANG
Title or Position: PRESIDENT
Credential:
Phone: 240-506-7027