| Premium Medical Llc | |
|
85 Main St Ste 4a Reisterstown MD 21136-1225 | |
| (443) 722-0793 | |
| Not Available |
| Full Name | Premium Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 85 Main St Ste 4a, Reisterstown, Maryland |
| Authorized Official Name and Position | Chukwudozie Mochaa-uchefuna (OWNER) |
| Authorized Official Contact | 4437220793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Medical Llc 85 Main St Ste 4a Reisterstown MD 21136-1225 Ph: (443) 722-0793 | Premium Medical Llc 85 Main St Ste 4a Reisterstown MD 21136-1225 Ph: (443) 722-0793 |
| NPI Number | 1861282428 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861282428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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