# PRIME MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134319395
- **Authorized official:** FARHAD JAMALI M.D. (OWNER)
- **Authorized official phone:** (301) 805-0006

## Contact information

- **Practice address:** 12150 ANNAPOLIS RD, SUITE 308, GLENN DALE, MD 20769-9183
- **Practice address phone:** (301) 805-0006
- **Practice address fax:** (301) 805-5757
- **Mailing address:** PO BOX 569, GREENBELT, MD 20768-0569
- **Mailing address phone:** (301) 805-0006
- **Mailing address fax:** (301) 805-5757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0058213 | MD | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 12/09/2011