Provider Demographics
NPI:1174223432
Name:MANAGED CARE ADVISORS, INC.
Entity type:Organization
Organization Name:MANAGED CARE ADVISORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-469-1660
Mailing Address - Street 1:7700 OLD GEORGETOWN RD STE 750
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6231
Mailing Address - Country:US
Mailing Address - Phone:301-469-1660
Mailing Address - Fax:
Practice Address - Street 1:7700 OLD GEORGETOWN RD STE 750
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6231
Practice Address - Country:US
Practice Address - Phone:301-469-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDNAOtherWORLD TRADE CENTER NATIONWIDE PROVIDER NETWORK