Organization
BOWIE TOWN BEHAVIORAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIDA K. GANJOO M.D. (OWNER)
(301) 218-4220
Entity
Organization
Contact information
Practice address
3060 MITCHELLVILLE RD, SUITE 104, BOWIE, MD 20716-1389
(301) 218-4220
(301) 218-4330
Mailing address
3060 MITCHELLVILLE RD, SUITE 104, BOWIE, MD 20716-1389
(301) 218-4220
(301) 218-4330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0036532
MD
Other
Enumeration date
07/19/2006
Last updated
01/09/2012
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