OrganizationDus Family Medical Practice, LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7525 Greenway Center Dr, Suite 105, Greenbelt, MD 20770-3509(301) 313-0425PECOS EnrollmentBased on the most recent information from CMS, provider Dus Family Medical Practice, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1346423571Provider TypeOrganizationFull NameDus Family Medical Practice, LlcSubpartNoEnumeration Date12/11/2007Last Updated10/26/2010Contact InformationPractice LocationPractice Address7525 Greenway Center Dr, Suite 105, Greenbelt, MD 20770-3509Phone(301) 313-0425Fax(301) 313-0435Mailing LocationMailing Address7525 Greenway Center Dr, Suite 105, Greenbelt, MD 20770-3509Phone(301) 313-0425Fax(301) 313-0435Authorized OfficialNameKhan, Samira (Director)Phone(301) 313-0425Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseD0063394MarylandProvider IdentifiersIDDescriptionIssuerID9745569DescriptionOtherIssuerCIGNAMarylandIDK543DescriptionOtherIssuerCAREFIRST DCDistrict of ColumbiaID407632000DescriptionMedicaidIssuerUnlistedMarylandID660BDUDescriptionOtherIssuerCAREFIRST BCBSMaryland