Bai Kanu, MD | |
3233 Superior Ln, B 21, Bowie, MD 20715-1920 | |
(301) 805-2500 | |
(301) 805-0114 |
Full Name | Bai Kanu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3233 Superior Ln, Bowie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033163571 | NPI | - | NPPES |
432360200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0058580 (Maryland) | Primary |
Entity Name | Prime Healthcare,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578743704 PECOS PAC ID: 4789585811 Enrollment ID: O20040120000746 |
Mailing Address | Practice Location Address |
---|---|
Bai Kanu, MD 16430 Lea Dr, Bowie, MD 20715-4384 Ph: (301) 262-7113 | Bai Kanu, MD 3233 Superior Ln, B 21, Bowie, MD 20715-1920 Ph: (301) 805-2500 |
Dr. Mariam Mcconnell Bahrami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4379 Northview Dr, Bowie, MD 20716 Phone: 301-262-2627 Fax: 301-262-8411 | |
Dr. Sara Dereath Collins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16900 Science Dr Ste 200, Bowie, MD 20715 Phone: 410-573-9805 | |
Sobhan A Mathew, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3048 Mitchellville Rd, Bowie, MD 20716 Phone: 301-218-1456 Fax: 301-218-1462 | |
Dr. David L Siegel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14999 Health Center Dr, Ste 201, Bowie, MD 20716 Phone: 301-262-8188 Fax: 301-464-8233 | |
Lizy Bose Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14999 Health Center Dr, Suite 201, Bowie, MD 20716 Phone: 301-262-8188 Fax: 301-464-8233 | |
Dr. Edwin Shadzeka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4314 Rustling Leaves Ter, Bowie, MD 20716 Phone: 301-806-2461 |