Organization
PRIYALLC
Active
Other names
d/b/a Primary family health clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHA RANI MITTAR I M.D. (PHYSCIAN/OWNER)
(410) 719-9110
Entity
Organization
Contact information
Practice address
7001 JOHNNYCAKE RD, SUITE#200, BALTIMORE, MD 21244-2418
(410) 719-9110
(410) 719-9122
Mailing address
7001 JOHNNYCAKE RD, SUITE#200, BALTIMORE, MD 21244-2418
(410) 719-9110
(410) 719-9122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D45783
MD
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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