1316993389 NPI number — WASIM AMIR, INC.

Table of content: (NPI 1316993389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316993389 NPI number — WASIM AMIR, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WASIM AMIR, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316993389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12085 SOMERSET AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCESS ANNE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21853-1314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-651-3980
Provider Business Mailing Address Fax Number:
410-651-3985

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12085 SOMERSET AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCESS ANNE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21853-1314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-651-3980
Provider Business Practice Location Address Fax Number:
410-651-3985
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AMIR
Authorized Official First Name:
WASIM
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
410-651-3980

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PO 2584 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PO2584 . This is a "PHARMACY PERMIT NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 402411700 . This is a "MEDICAID DME PROVIDER #" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 901700300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com