Bryant, Tamiko A.

Bryant, Tamiko A. is an sole proprietor health care provider with primary practice located at 17001 Science Dr #118, Bowie MD 20715-4329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bryant, Tamiko A. can be contacted via phone (240) 245-3484.

Contact Information

Primary practice address
17001 Science Dr #118 Bowie MD 20715-4329
Fax: (240) 245-3486
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0054820 Maryland

Profile Details

NPI number 1154385912
LBN Legal business name Bryant, Tamiko A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Dec 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154385912 NPPES
Maryland Other 64629707 BCBS
Maryland Other K6430004 BCBS
Maryland MEDICAID 003388000 BCBS

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