MEDICARE: MINDE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1744R1102X	Research Study Specialist
2	174H00000X	Health Educator
3	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1275953960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDE INC.

Provider Business Mailing Address
First Line	:	11214 OLD GEORGETOWN RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11214 OLD GEORGETOWN RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3202
Country	:	US
Telephone Number	:	240-506-7027
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC ZHANG
Credential	:
Telephone Number	:	240-506-7027

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/21/2014

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