NPIMap

Organization Active NPI

Priyallc

Doing business as d/b/a Primary family health clinic

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1396929931
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D45783 Issued in MD
Legal business name
PRIYALLC
Doing business as
d/b/a Primary family health clinic
Practice address
7001 Johnnycake Rd
Suite#200
Baltimore, MD 21244-2418
Phone
(410) 719-9110
Fax
(410) 719-9122
NPI assigned
Dec 18, 2007
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Asha Rani Mittar I, M.D.NPI 1669425179
Title
Physcian/Owner
Phone
(410) 719-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D45783 MD Primary

Addresses

Primary practice location

7001 Johnnycake Rd
Suite#200
Baltimore, MD 21244-2418

Mailing address

7001 Johnnycake Rd
Suite#200
Baltimore, MD 21244-2418
Phone (410) 719-9110

Other names 1

  • d/b/a Primary family health clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7001 Johnnycake Rd
Ste 200
Windsor Mill, MD 21244
Phone (410) 719-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1396929931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD",
            "address_2": "SUITE#200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442418",
            "telephone_number": "410-719-9110",
            "fax_number": "410-719-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD",
            "address_2": "SUITE#200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442418",
            "telephone_number": "410-719-9110",
            "fax_number": "410-719-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYALLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MITTAR",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "PHYSCIAN/OWNER",
        "authorized_official_telephone_number": "410-719-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D45783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Primary family health clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.