| Abs Clinical Services | |
|
5632 Annapolis Rd Ste 11 Bladensburg MD 20710-2213 | |
| (240) 486-7097 | |
| Not Available |
| Full Name | Abs Clinical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 5632 Annapolis Rd Ste 11, Bladensburg, Maryland |
| Authorized Official Name and Position | Khudsiatu Tucker (NP) |
| Authorized Official Contact | 2404867097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abs Clinical Services 5632 Annapolis Rd Ste 11 Bladensburg MD 20710-2213 Ph: (240) 486-7097 | Abs Clinical Services 5632 Annapolis Rd Ste 11 Bladensburg MD 20710-2213 Ph: (240) 486-7097 |
| NPI Number | 1255916144 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 05/04/2021 |
| Medicare PECOS PAC ID | 4981013265 |
|---|---|
| Medicare Enrollment ID | O20210518001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255916144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Khudsiatu Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831707488 PECOS PAC ID: 4587074455 Enrollment ID: I20201112001805 |
Prince George's County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 57th Ave, Bladensburg, MD 20710 Phone: 240-696-3356 Fax: 301-883-7890 | |
Parmjit S Aujla Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 Annapolis Rd, Ste 13, Bladensburg, MD 20710 Phone: 301-699-8333 Fax: 301-699-9344 | |
Mynp Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5802 Annapolis Rd, Bladensburg, MD 20710 Phone: 804-937-3219 | |
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