1730125287 NPI number — OM SAIDEV LLC

Table of content: (NPI 1730125287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730125287 NPI number — OM SAIDEV LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OM SAIDEV LLC
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:
1730125287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5360 LINCOLN HWY
Provider Second Line Business Mailing Address:
SUITE 10
Provider Business Mailing Address City Name:
GAP
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17527-9451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-442-9523
Provider Business Mailing Address Fax Number:
717-442-5246

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5360 LINCOLN HWY
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
GAP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17527-9451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-442-9523
Provider Business Practice Location Address Fax Number:
717-442-5246
Provider Enumeration Date:
06/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DONEPUDI
Authorized Official First Name:
UMAMAHESWARA
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
717-442-9523

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X , with the licence number: PP411414L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1029008520001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2144225 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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