Individual
ERIC MBAHYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6407 GWINNETT LN, BOWIE, MD 20720-5320
(301) 338-0863
Mailing address
6407 GWINNETT LN, BOWIE, MD 20720-5320
(301) 338-0863
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/15/2018
Last updated
11/20/2023
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