Organization Active NPI

Maryland Infectious Disease Clinic, LLC

  • Infectious Disease Physician
  • Columbia, MD
National Provider Identifier
1326384116
Registry record updated Dec 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0056600 Issued in MD
Legal business name
MARYLAND INFECTIOUS DISEASE CLINIC, LLC
Practice address
6097 Sebring Dr
Columbia, MD 21044-3900
Phone
(443) 794-8929
NPI assigned
Dec 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohan Amlani, MDNPI 1720068968
Title
President
Phone
(443) 794-8929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X D0056600 MD Primary

Addresses

Primary practice location

6097 Sebring Dr
Columbia, MD 21044-3900

Mailing address

6097 Sebring Dr
Columbia, MD 21044-3900
Phone (443) 794-8929

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356393600000",
    "number": "1326384116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 SEBRING DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443900",
            "telephone_number": "443-794-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6097 SEBRING DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443900",
            "telephone_number": "443-794-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INFECTIOUS DISEASE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-25",
        "last_updated": "2012-12-25",
        "status": "A",
        "authorized_official_last_name": "AMLANI",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-794-8929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0056600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.