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

Prime Medicine LLC

Organization Internal Medicine Physician · NPI 1134319395

Prime Medicine LLC is an Internal Medicine Physician in Glenn Dale, 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

12150 Annapolis Rd Ste 308
Glenn Dale, MD 20769-9183
Phone: (301) 805-0006
Fax: (301) 805-5757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0058213 (MD)

Record details

NPI number1134319395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farhad Jamali — Owner · (301) 805-0006
NPI enumeratedJuly 25, 2007
Last updated in NPPESDecember 9, 2011
Mailing addressPo Box 569, Greenbelt, MD 20768-0569

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