Provider Demographics
NPI:1568287423
Name:BUDDHAHEALTH GROUP LLC
Entity type:Organization
Organization Name:BUDDHAHEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:UCHECHUKWU
Authorized Official - Last Name:ALASORO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:443-360-7900
Mailing Address - Street 1:3301 KENJAC RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1323
Mailing Address - Country:US
Mailing Address - Phone:443-360-7900
Mailing Address - Fax:
Practice Address - Street 1:3301 KENJAC RD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1323
Practice Address - Country:US
Practice Address - Phone:443-360-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-16
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty