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NPI Code Detail

MEDICARE: COMPASSIONATE MULTI HEALTH GROUP INC

MEDICARE: COMPASSIONATE MULTI HEALTH GROUP INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1407606593
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSIONATE MULTI HEALTH GROUP INC
Provider Business Mailing Address
First Line : 10490 LITTLE PATUXENT PKWY STE 600
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4941
Country : US
Telephone Number : 410-699-9779
Fax Number : 410-699-9789
Provider Business Practice Location Address
First Line : 10490 LITTLE PATUXENT PKWY STE 600
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4941
Country : US
Telephone Number : 410-699-9779
Fax Number : 410-699-9789
Authorized Official
Title or Position : OWNER
Name : DR. STAR TANGYIE-CHE NIBA
Credential : NP
Telephone Number : 410-699-9779
Provider Enumeration Date : 03/25/2024
Last Update Date : 08/08/2024

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