Provider Demographics
NPI:1194870311
Name:O & O ALPAN, LLC
Entity type:Organization
Organization Name:O & O ALPAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ORAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-643-6002
Mailing Address - Street 1:5511 OAKMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3527
Mailing Address - Country:US
Mailing Address - Phone:240-643-6002
Mailing Address - Fax:301-530-7424
Practice Address - Street 1:5511 OAKMONT AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3527
Practice Address - Country:US
Practice Address - Phone:240-643-6002
Practice Address - Fax:301-530-7424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052272207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H52544Medicare UPIN