| Jamalodeen Baksh Md Llc | |
|
3951 Ferrara Dr Connecticut Belair Medical Park Silver Spring MD 20906-4709 | |
| (301) 942-0991 | |
| (301) 942-0682 |
| Full Name | Jamalodeen Baksh Md Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3951 Ferrara Dr, Silver Spring, Maryland |
| Authorized Official Name and Position | Jamalodeen Baksh (CEO) |
| Authorized Official Contact | 3019420991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamalodeen Baksh Md Llc 3951 Ferrara Dr Connecticut Belair Medical Park Silver Spring MD 20906-4709 Ph: (301) 942-0991 | Jamalodeen Baksh Md Llc 3951 Ferrara Dr Connecticut Belair Medical Park Silver Spring MD 20906-4709 Ph: (301) 942-0991 |
| NPI Number | 1598083917 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598083917 | NPI | - | NPPES |
| P713-0001 | Other | DC | BC/BS |
| 787201100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0023050 (Maryland) | Primary |
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