Provider Demographics
NPI:1437409075
Name:PRIORITY CARE SM LLC
Entity Type:Organization
Organization Name:PRIORITY CARE SM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:OMAIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-645-3420
Mailing Address - Street 1:3575 OLD WASHINGTON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3209
Mailing Address - Country:US
Mailing Address - Phone:301-645-3420
Mailing Address - Fax:301-645-3423
Practice Address - Street 1:3575 OLD WASHINGTON RD
Practice Address - Street 2:SUITE C
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3209
Practice Address - Country:US
Practice Address - Phone:301-645-3420
Practice Address - Fax:301-645-3423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-11
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty