| Dr. Bamba's Health And Medical Center | |
|
1406b Crain Hwy S Ste 308 Glen Burnie MD 21061-4094 | |
| (443) 953-8255 | |
| Not Available |
| Full Name | Dr. Bamba's Health And Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1406b Crain Hwy S Ste 308, Glen Burnie, Maryland |
| Authorized Official Name and Position | N'dama Bamba (OWNER/PROVIDER) |
| Authorized Official Contact | 4439538255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Bamba's Health And Medical Center 1406b Crain Hwy S Ste 308 Glen Burnie MD 21061-4094 Ph: (443) 953-8255 | Dr. Bamba's Health And Medical Center 1406b Crain Hwy S Ste 308 Glen Burnie MD 21061-4094 Ph: (443) 953-8255 |
| NPI Number | 1063113397 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 9133594807 |
|---|---|
| Medicare Enrollment ID | O20230411001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063113397 | NPI | - | NPPES |
| 73005931 | Medicaid | MD | |
| 1275856163 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | N'dama M Bamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275856163 PECOS PAC ID: 9638552615 Enrollment ID: I20220824002178 |
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