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Organization
PRIME HEALTHCARE,LLC
Active
Organization
PRIME HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAI KANU M.D. (CEO)
(301) 805-2500
Entity
Organization
Contact information
Practice address
3233 SUPERIOR LN, B21, BOWIE, MD 20715-1920
(301) 805-2500
(301) 805-0114
Mailing address
3233 SUPERIOR LN, B21, BOWIE, MD 20715-1920
(301) 805-2500
(301) 805-0114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0058580
MD
Other
Enumeration date
11/05/2007
Last updated
12/10/2007
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