Provider Demographics
NPI:1487235859
Name:THE INSTITUTES OF MULTIDIMENSIONAL MEDICINE PLLC
Entity type:Organization
Organization Name:THE INSTITUTES OF MULTIDIMENSIONAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MINES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:202-429-3783
Mailing Address - Street 1:2311 M ST NW # 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1445
Mailing Address - Country:US
Mailing Address - Phone:202-429-3783
Mailing Address - Fax:202-449-8324
Practice Address - Street 1:2311 M ST NW # 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1445
Practice Address - Country:US
Practice Address - Phone:202-429-3783
Practice Address - Fax:202-449-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-18
Last Update Date:2021-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care