Organization
DUS FAMILY MEDICAL PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMIRA KHAN (DIRECTOR)
(301) 313-0425
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR, SUITE 105, GREENBELT, MD 20770-3509
(301) 313-0425
(301) 313-0435
Mailing address
7525 GREENWAY CENTER DR, SUITE 105, GREENBELT, MD 20770-3509
(301) 313-0425
(301) 313-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0063394
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407632000
—
MD
01
—
660BDU
CAREFIRST BCBS
MD
01
—
9745569
CIGNA
MD
01
—
K543
CAREFIRST DC
DC
Enumeration date
12/11/2007
Last updated
10/26/2010
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