Healthcare Provider Details

I. General information

NPI: 1578369872
Provider Name (Legal Business Name): OASIS WOMEN'S CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 TOWER OAKS BLVD STE 202
ROCKVILLE MD
20852-4219
US

IV. Provider business mailing address

7501 GREENWAY CENTER DR STE 410
GREENBELT MD
20770-3597
US

V. Phone/Fax

Practice location:
  • Phone: 240-616-3934
  • Fax: 240-616-3952
Mailing address:
  • Phone: 240-616-3934
  • Fax: 240-616-3952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: RUPEN P BAXI
Title or Position: PRESIDENT/CEO
Credential:
Phone: 240-616-3934