MEDICARE: ACUVEDIC CARE

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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1851148621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUVEDIC CARE

Provider Business Mailing Address
First Line	:	6259 HEATHER GLEN WAY
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-1178
Country	:	US
Telephone Number	:	443-691-1887
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 GRACE DR
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2473
Country	:	US
Telephone Number	:	443-300-8916
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	PUJA PATEL
Credential	:	L.AC DOM
Telephone Number	:	443-691-1887

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	05/01/2024

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