Tamiko A. Bryant, Md,llc | |
17001 Science Dr #118 Bowie MD 20715-4329 | |
(240) 245-3484 | |
(240) 245-3486 |
Full Name | Tamiko A. Bryant, Md,llc |
---|---|
Speciality | Internal Medicine |
Location | 17001 Science Dr, Bowie, Maryland |
Authorized Official Name and Position | Tamiko Andrea Bryant (PHYSICIAN) |
Authorized Official Contact | 2402453484 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tamiko A. Bryant, Md,llc 17001 Science Drive #118 Bowie MD 20715 Ph: (240) 245-3484 | Tamiko A. Bryant, Md,llc 17001 Science Dr #118 Bowie MD 20715-4329 Ph: (240) 245-3484 |
NPI Number | 1356662001 |
---|---|
Provider Enumeration Date | 06/17/2010 |
Last Update Date | 12/07/2010 |
Medicare PECOS PAC ID | 1456546415 |
---|---|
Medicare Enrollment ID | O20101116000729 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356662001 | NPI | - | NPPES |
V944 | Other | DC | BCBS |
CR7WTA | Other | MD | BCBS |
003388000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0054820 (Maryland) | Primary |
Provider Name | Tamiko A Bryant |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154385912 PECOS PAC ID: 8729043526 Enrollment ID: I20100720000112 |
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