Prime Md Llc in Clarksville - Internal Medicine

Prime Md Llc - NPI 1558540161

Prime Md Llc is a Internal Medicine in Clarksville, Maryland. Prime Md Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Prime Md Llc is 1558540161. The last update date is 2010-09-16.

Prime Md Llc's current location address is 5005 Signal Bell Ln, Clarksville, Maryland. You can contact this provider via phone number 4435358500 and fax number 4105311446. The mailing address for Prime Md Llc is 5005 Signal Bell Ln, Clarksville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prime Md Llc
Address 5005 Signal Bell Ln, Clarksville, Maryland
Phone Number 4435358500
Fax Number 4105311446
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Abdo Khalil Suzan
Credentials MD
Telephone Number 4435358500

NPI Number Detail

NPI Number 1558540161
Provider Enumeration Date 2007-10-31
Last Updated Date 2010-09-16

Provider Mailing Address Detail

Address 5005 Signal Bell Ln
City Clarksville
State Maryland (MD)
Post Code 210292606
Phone Number 4435358500
Fax Number 4105311446

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No D0050878
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
F698 DC BSDC

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FAQs about Prime Md Llc

What is the unique 10-digit identification code issued to Prime Md Llc by the Centers for Medicare & Medicaid Services?

The Prime Md Llc has been assigned the NPI (National Provider Identifier) 1558540161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Prime Md Llc's physical address?

The Prime Md Llc is physically located at 5005 Signal Bell Ln, in the city of Clarksville, MD, with the postal code 210292606.

What is the Prime Md Llc's area of specialization and corresponding taxonomy classification?

The Prime Md Llc's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Prime Md Llc receive its 1558540161 assignment from the Centers for Medicare & Medicaid Services?

The Prime Md Llc was assigned its 1558540161 by the Centers for Medicare & Medicaid Services on 2007-10-31.

When was the information related to Prime Md Llc most recently updated or refreshed?

The details pertaining to the Prime Md Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-16.

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