Healthcare Provider Details

I. General information

NPI: 1053713701
Provider Name (Legal Business Name): HILM MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11219 LOCKWOOD DR
SILVER SPRING MD
20901-4550
US

IV. Provider business mailing address

11219 LOCKWOOD DR
SILVER SPRING MD
20901-4550
US

V. Phone/Fax

Practice location:
  • Phone: 301-557-9637
  • Fax: 301-557-9642
Mailing address:
  • Phone: 301-557-9637
  • Fax: 301-557-9642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SYED ASIF H. ALI
Title or Position: PARTNER
Credential: M.D.
Phone: 301-557-9637