Organization Active NPI

Imanoel Enterprise, Inc

  • Internal Medicine Physician
  • Westminster, MD
National Provider Identifier
1407045743
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H53939 Issued in MD
Legal business name
IMANOEL ENTERPRISE, INC
Practice address
218 Washington Heights Med Ctr
Westminster, MD 21157-5633
Phone
(410) 751-5830
Fax
(410) 751-7450
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Babak Imanoel, DONPI 1871546358
Title
Owner/Doctor
Phone
(410) 751-5830

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H53939 MD Primary

Addresses

Primary practice location

218 Washington Heights Med Ctr
Westminster, MD 21157-5633

Mailing address

9115 Field Rd
Baltimore, MD 21208-1003
Phone (410) 751-5830

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1407045743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 FIELD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081003",
            "telephone_number": "410-751-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 WASHINGTON HEIGHTS MED CTR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575633",
            "telephone_number": "410-751-5830",
            "fax_number": "410-751-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANOEL ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "IMANOEL",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "410-751-5830",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H53939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.