Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prime Healthcare, LLC

Organization Internal Medicine Physician · NPI 1578743704

Prime Healthcare, LLC is an Internal Medicine Physician in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3233 Superior Ln B21
Bowie, MD 20715-1920
Phone: (301) 805-2500
Fax: (301) 805-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0058580 (MD)

Record details

NPI number1578743704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bai Kanu — Ceo · (301) 805-2500
NPI enumeratedNovember 5, 2007
Last updated in NPPESDecember 10, 2007
Mailing address3233 Superior Ln, B21, Bowie, MD 20715-1920

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