Provider Demographics
NPI:1215084355
Name:MARK H. EIG, M.D. LLC
Entity type:Organization
Organization Name:MARK H. EIG, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:HERSHEL
Authorized Official - Last Name:EIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-592-1220
Mailing Address - Street 1:10801 LOCKWOOD DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1556
Mailing Address - Country:US
Mailing Address - Phone:301-520-1220
Mailing Address - Fax:301-592-0440
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:SUITE 280
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-520-1220
Practice Address - Fax:301-592-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD024886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB94804Medicare UPIN