| Prime Md Llc | |
|
5005 Signal Bell Ln Suite 202 Clarksville MD 21029-2606 | |
| (443) 535-8500 | |
| (410) 531-1446 |
| Full Name | Prime Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5005 Signal Bell Ln, Clarksville, Maryland |
| Authorized Official Name and Position | Suzan Khalil Abdo (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4435358500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Md Llc 5005 Signal Bell Ln Suite 202 Clarksville MD 21029-2606 Ph: (443) 535-8500 | Prime Md Llc 5005 Signal Bell Ln Suite 202 Clarksville MD 21029-2606 Ph: (443) 535-8500 |
| NPI Number | 1558540161 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 09/16/2010 |
| Medicare PECOS PAC ID | 4183603541 |
|---|---|
| Medicare Enrollment ID | O20040719000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558540161 | NPI | - | NPPES |
| F698 | Other | DC | BSDC |
| Provider Name | Suzan K Abdo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588631824 PECOS PAC ID: 9234315698 Enrollment ID: I20110519000217 |
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