BOWIE PRIMARY CARE, INC (NPI# 1205011640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205011640 |
| Entity Type | Organization |
| Organization Name | BOWIE PRIMARY CARE, INC |
| Other Organization Name | AZAR M DASHTI MD PA |
| Practice Address |
4379 Northview Drive Bowie MD 20716 |
| Practice Telephone | 3012622627 |
| Practice Fax Number | 3012628411 |
| Mailing Telephone | 3012622627 |
| Mailing Fax Number | 3012628411 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | DR. MARIAM M BAHRAMI (OWNER/PARTNER) |
| Authorized Official Telephone | 3012622627 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Azar M Dashti MD PA | Former Legal Business Name - Organization |
| Street Address |
4379 NORTHVIEW DRIVE |
| City | BOWIE |
| State | MD |
| Zip Code | 20716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457389892 | Jeannine Avis Clark | Pediatrics | 6915 Laurel Bowie Road, Suite 301, Bowie, MD 20715 | 2006-06-28 |
| 1275513053 | Valorie Anlage | Pediatrics | 17001 Science Drive, Suite 116, Bowie, MD 20715 | 2006-01-18 |
| 1144229667 | Toni Lynn Thompson-chittams | Pediatrics | 4357 Northview Dr, Bowie, MD 20716-2603 | 2005-07-18 |
| 1083610760 | Amina T Watson | Pediatrics | 1700 Science Drive, Suite 102, Bowie, MD 20715 | 2005-06-27 |
| 1285094094 | Love Kids LLC | Pediatrics | 14300 Gallant Fox Ln, 203, Bowie, MD 20715-4003 | 2016-03-07 |
| 1700266962 | Tlc Pediatrics | Pediatrics | 4357 Northview Dr, Bowie, MD 20716-2603 | 2015-06-03 |
| 1841408697 | Ettienne's Premier Pediatric Care LLC | Pediatrics | 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 | 2007-05-17 |
| 1730252594 | Suzette Scipio - Ettienne | Pediatrics | 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 | 2006-11-17 |
| 1770689416 | Azar Dashti | Pediatrics | 4379 Northview Dr, Bowie, MD 20716-2603 | 2006-09-16 |
| 1285648667 | Brenda Karen Pettus-bellamy | Pediatrics | 6915 Laurel Bowie Rd, Suite 301, Bowie, MD 20715 | 2006-07-28 |
| Find all providers in BOWIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.