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Organization
BOWIE TOWN MEDICAL & URGENT CARE LLC
Active
Organization
BOWIE TOWN MEDICAL & URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIDA GANJOO M.D. (MEMBER)
(301) 249-8100
Entity
Organization
Contact information
Practice address
3060 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-1389
(301) 249-8100
(301) 390-8086
Mailing address
3060 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-1389
(301) 249-8100
(301) 390-8086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
09/11/2025
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