Prime Md Llc
LBN: Prime Md Llc
Prime Md Llc is an health care organization with primary practice located at 5005 Signal Bell Ln Suite 202, Clarksville MD 21029-2606. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Prime Md Llc can be contacted via phone (443) 535-8500, or through Abdo, Suzan Khalil via phone (443) 535-8500.
Contact Information
Primary practice address
5005 Signal Bell Ln Suite 202
Clarksville MD 21029-2606
Phone: (443) 535-8500
Fax: (410) 531-1446
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0050878 | Maryland |
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | D50870 | Maryland |
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | D046855 | Maryland |
Profile Details
NPI number | 1558540161 |
---|---|
LBN Legal business name | Prime Md Llc |
DBA Doing business as | |
Authorized official | Abdo, Suzan Khalil Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 31st, 2007 |
Last updated | Sep 16th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558540161 | NPPES |
District of Columbia | Other | F698 | BSDC |
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