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Organization

CHARM CITY PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEVESH DHRUVA KANJARPANE MD MPH FACPM FACOEM (CHIEF MEDICAL OFFICER (CMO))
(301) 675-1296
Entity
Organization

Contact information

Practice address
2220 REISTERSTOWN RD, BALTIMORE, MD 21217-1928
(301) 675-1296
(443) 535-0773
Mailing address
6041 WINTER GRAIN PATH, STE #1F, CLARKSVILLE, MD 21029-1224
(301) 675-1296
(443) 535-0773

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
D0040076
MD
261QC1500X
Community Health Clinic/Center
261QH0100X
Health Service Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
10/10/2014
Last updated
06/13/2024
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