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Organization
TAMIKO A. BRYANT, MD,LLC
Active
Organization
TAMIKO A. BRYANT, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMIKO ANDREA BRYANT M.D. (PHYSICIAN)
(240) 245-3484
Entity
Organization
Contact information
Practice address
17001 SCIENCE DR, #118, BOWIE, MD 20715-4329
(240) 245-3484
(240) 245-3486
Mailing address
17001 SCIENCE DRIVE, #118, BOWIE, MD 20715
(240) 245-3484
(240) 245-3486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054820
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003388000
—
MD
01
—
CR7WTA
BCBS
MD
01
—
V944
BCBS
DC
Enumeration date
06/17/2010
Last updated
12/07/2010
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