Provider Demographics
NPI:1396424156
Name:UNIC ALLERGY AND ASTHMA CENTER LLC
Entity type:Organization
Organization Name:UNIC ALLERGY AND ASTHMA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NNEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIEJEMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-905-7762
Mailing Address - Street 1:8403 COLESVILLE RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-6346
Mailing Address - Country:US
Mailing Address - Phone:301-905-7762
Mailing Address - Fax:301-235-1601
Practice Address - Street 1:12250 ROCKVILLE PIKE STE 290
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1600
Practice Address - Country:US
Practice Address - Phone:240-669-8765
Practice Address - Fax:301-235-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty