| NPI | 1891355020 |
|---|---|
| Doing Business As | PRIME MD |
| Entity Type | Organization |
| Authorized Contact | NAVEEN R BEKKAM Md 844-281-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-04-21 |