| Primary Medicine Llc | |
|
14113 Baltimore Ave Ste A Laurel MD 20707-5073 | |
| (301) 498-9494 | |
| (301) 498-6301 |
| Full Name | Primary Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14113 Baltimore Ave Ste A, Laurel, Maryland |
| Authorized Official Name and Position | Kaveh Sadeghi (OWNER) |
| Authorized Official Contact | 3014989494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medicine Llc Po Box 2510 Laurel MD 20709-2510 Ph: (301) 498-9494 | Primary Medicine Llc 14113 Baltimore Ave Ste A Laurel MD 20707-5073 Ph: (301) 498-9494 |
| NPI Number | 1841617941 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 6709001449 |
|---|---|
| Medicare Enrollment ID | O20140714000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841617941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rointan Farihifar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912943531 PECOS PAC ID: 8527053792 Enrollment ID: I20040416001280 |
| Provider Name | Kaveh Sadeghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073832044 PECOS PAC ID: 3375739527 Enrollment ID: I20101130000499 |
| Provider Name | Katayoun Khosravani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659623221 PECOS PAC ID: 2961654942 Enrollment ID: I20121221000140 |
| Provider Name | Meegan C Chestnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255513636 PECOS PAC ID: 6800066531 Enrollment ID: I20140616001412 |
| Provider Name | Okechukwu Ada Nwodim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144377490 PECOS PAC ID: 6709772734 Enrollment ID: I20141014002016 |
| Provider Name | Joleen N Liburd |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1134423866 PECOS PAC ID: 8325289903 Enrollment ID: I20170321000469 |
| Provider Name | Leonard Allison Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053384750 PECOS PAC ID: 7911915400 Enrollment ID: I20180319001328 |
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