Maryland Family Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D55538 Issued in MD

Legal business name

MARYLAND FAMILY HEALTHCARE, LLC

Practice address

12150 Annapolis Rd
Suite 212
Glenn Dale, MD 20769-9183

Phone

(301) 860-0002

Fax

(301) 860-0504

NPI assigned

Mar 4, 2014

Last updated

Mar 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debra A Vereen, MD

Title

Owner

Phone

(301) 860-0002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1326463092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 212",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-860-0002",
            "fax_number": "301-860-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 212",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-860-0002",
            "fax_number": "301-860-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "VEREEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-860-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D55538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangeeta Maharjan
• Homayoon Mahjoob, M.D.
• Marika L Martin
• Mary Tabi
• Maryland Children Health Center
• Maryland Specialty Care, LLC
• Maryland Specialty Group LLC
• Maryland Specialty Group LLC
• Kier Maxwell, PHD, LCMFT
• Ashley Mbah

• Family Medicine Physician in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.