Healthcare Provider Details

I. General information

NPI: 1891534368
Provider Name (Legal Business Name): GEH FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 POOLE RD STE C
WESTMINSTER MD
21157-7379
US

IV. Provider business mailing address

700 POOLE RD STE C
WESTMINSTER MD
21157-7379
US

V. Phone/Fax

Practice location:
  • Phone: 667-320-0424
  • Fax: 833-973-4818
Mailing address:
  • Phone: 667-320-0424
  • Fax: 833-973-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALANG M GEH
Title or Position: CEO
Credential: NP
Phone: 443-610-0045