| Harry's Primary Care, Llc | |
|
8600 Snowden River Pkwy Suite 301 Columbia MD 21045-1982 | |
| (410) 312-4700 | |
| (410) 312-0400 |
| Full Name | Harry's Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8600 Snowden River Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Harry Li (DIRECTOR) |
| Authorized Official Contact | 4103124700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry's Primary Care, Llc 8600 Snowden River Pkwy Suite 301 Columbia MD 21045-1982 Ph: (410) 312-4700 | Harry's Primary Care, Llc 8600 Snowden River Pkwy Suite 301 Columbia MD 21045-1982 Ph: (410) 312-4700 |
| NPI Number | 1871634394 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 2062507502 |
|---|---|
| Medicare Enrollment ID | O20070928000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871634394 | NPI | - | NPPES |
| 129373 | Other | MD | AETNA PPO |
| 129373 | Other | MD | AETNA HMO |
| KCC1HA | Other | MD | BLUCECROSS OF MARYLAND |
| F991 | Other | MD | BCBS FEP |
| F991 | Other | MD | BCBS BLUECHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0056531 (Maryland) | Primary |
| Provider Name | Harry Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487711552 PECOS PAC ID: 9537254081 Enrollment ID: I20110111000416 |
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