Organization
PRINCE GEORGES KIDNEY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK RAZI MD (OWNER)
(301) 509-3018
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD STE 233, GLENN DALE, MD 20769-9182
(301) 365-5809
(301) 365-5813
Mailing address
8400 RAINBOW RD, VIENNA, VA 22182-3727
(301) 509-3018
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
02/24/2021
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