| Primary Coastal Care LLC | |
|
8114 Sandpiper Cir Ste 214 Nottingham MD 21236-5902 | |
| (443) 218-3118 | |
| (410) 449-4291 |
| Full Name | Primary Coastal Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 8114 Sandpiper Cir Ste 214, Nottingham, Maryland |
| Authorized Official Name and Position | Aisha Mian (CEO) |
| Authorized Official Contact | 4432183118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Coastal Care LLC 8114 Sandpiper Cir Ste 214 Nottingham MD 21236-5902 Ph: (443) 218-3118 | Primary Coastal Care LLC 8114 Sandpiper Cir Ste 214 Nottingham MD 21236-5902 Ph: (443) 218-3118 |
| NPI Number | 1275498776 |
|---|---|
| Provider Enumeration Date | 12/17/2025 |
| Last Update Date | 01/08/2026 |
| Certification Date | 01/08/2026 |
| Medicare PECOS PAC ID | 7113496647 |
|---|---|
| Medicare Enrollment ID | O20260514001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275498776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Eyako K Wurapa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245231331 PECOS PAC ID: 8123003704 Enrollment ID: I20141105002228 |
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