MEDICARE: BAWI THLUAI SUNG NP

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	363LF0000X	Family Nurse Practitioner	R237437	MD

General Provider Information

NPI Number	:	1700625134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAWI THLUAI SUNG NP

Provider Business Mailing Address
First Line	:	16220 FREDERICK RD STE 418
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-4021
Country	:	US
Telephone Number	:	240-503-1567
Fax Number	:

Provider Business Practice Location Address
First Line	:	16220 FREDERICK RD STE 418
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-4021
Country	:	US
Telephone Number	:	240-503-1567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	02/13/2026

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