Organization
DR. BAMBA'S HEALTH AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
N'DAMA BAMBA MD (OWNER/PROVIDER)
(443) 953-8255
Entity
Organization
Contact information
Practice address
1406B CRAIN HWY S STE 308, GLEN BURNIE, MD 21061-4094
(443) 953-8255
Mailing address
1406B CRAIN HWY S STE 308, GLEN BURNIE, MD 21061-4094
(443) 953-8255
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275856163
INDIVIDUAL NPI
—
05
—
73005931
—
MD
Enumeration date
03/14/2023
Last updated
03/21/2023
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