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NPI Code Detail

MEDICARE: PARMAR PRIMARY CARE MEDICINE LLC

MEDICARE: PARMAR PRIMARY CARE MEDICINE 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
1207Q00000XFamily Medicine PhysicianD0063322MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D0063322OTHERMDMEDICAL LICENSE

General Provider Information

NPI Number : 1164966735
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARMAR PRIMARY CARE MEDICINE LLC
Provider Business Mailing Address
First Line : 10298B BALTIMORE NATIONAL PIKE
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-3670
Country : US
Telephone Number : 410-465-1091
Fax Number : 410-465-8129
Provider Business Practice Location Address
First Line : 10298B BALTIMORE NATIONAL PIKE
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-3670
Country : US
Telephone Number : 410-465-1091
Fax Number : 410-465-8129
Authorized Official
Title or Position : OWNER
Name : DR. AMANDEEP SINGH
Credential : M.D.
Telephone Number : 443-602-1339
Provider Enumeration Date : 12/15/2016
Last Update Date : 02/21/2017

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Directions to “PARMAR PRIMARY CARE MEDICINE LLC ” Practice Location

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