MEDICARE: LINKA MEDICAL CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1033886841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINKA MEDICAL CARE, LLC

Provider Business Mailing Address
First Line	:	6604 ADRIAN ST
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3610
Country	:	US
Telephone Number	:	301-683-4762
Fax Number	:

Provider Business Practice Location Address
First Line	:	6604 ADRIAN ST
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3610
Country	:	US
Telephone Number	:	301-683-4762
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. LINET NONJI KANDIE
Credential	:
Telephone Number	:	301-683-4762

Provider Enumeration Date	:	08/28/2021
Last Update Date	:	11/26/2021

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