MUMTAZ B. MEHOOB (NPI# 1982700787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982700787 |
| Entity Type | Organization |
| Organization Name | MUMTAZ B. MEHOOB |
| Other Organization Name | 40 WEST WALK IN MEDICAL CENTER |
| Practice Address |
8455 Baltimore National Pike Suite C Ellicott City MD 21043-4208 |
| Practice Telephone | 4104656300 |
| Practice Fax Number | 4104651943 |
| Mailing Telephone | 4104656300 |
| Mailing Fax Number | 4104651943 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MUMTAZ BANU MEHBOOB (PRESIDENT) |
| Authorized Official Telephone | 4104656300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 40 West Walk In Medical Center | Other Name - Individual/Organization |
| Street Address |
8455 BALTIMORE NATIONAL PIKE SUITE C |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548237233 | Mumtaz Banu Mehboob | Family Medicine | 8455 Baltimore National Pike, Suite C, Ellicott City, MD 21043-4208 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295288959 | Heartshine Acupuncture | Clinic/Center | 3110 W Springs Dr Apt F, Ellicott City, MD 21043-3249 | 2016-07-29 |
| 1235749516 | Calling Acupuncture Clinic | Clinic/Center | 3240 Corporate Ct Ste D, Ellicott City, MD 21042-2273 | 2020-08-03 |
| 1124557871 | Addis Consulting Inc. | Clinic/Center | 8492 Baltimore National Pike, Ellicott City, MD 21043-3370 | 2017-06-07 |
| 1356728984 | Rediclinic of Md, LLC | Clinic/Center | 8601 Baltimore National Pike, Ellicott City, MD 21043-4176 | 2015-05-04 |
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| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
Please comment or provide details below to improve the information on MUMTAZ B. MEHOOB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.