1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Pediatrics
  6. NPI Profile

BOWIE PRIMARY CARE, INC
NPI 1205011640
Pediatrics in Bowie, MD

Active since January 03, 2008CLIA 21D0210097 · Waiver
4379 NORTHVIEW DRIVE, BOWIE, MD 20716(301) 262-2627(301) 262-8411 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bowie Primary Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOWIE PRIMARY CARE, INC (NPI 1205011640), doing business as Azar M Dashti Md Pa, is a healthcare organization registered as a pediatrics in Bowie, Maryland and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Mariam M Bahrami, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1205011640
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBOWIE PRIMARY CARE, INC
Location Address4379 NORTHVIEW DRIVEBowie, MD 20716
Mailing Address4379 Northview DriveBowie, MD 20716 · (301) 262-2627 · Fax (301) 262-8411
Phone(301) 262-2627
Fax(301) 262-8411
Organization SubpartNo
Authorized OfficialMariam M BahramiOwner/partner · (301) 262-2627
Enumeration DateJanuary 3, 2008
Last NPPES UpdateMarch 14, 2017
✔ NPI 1205011640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
4379 NORTHVIEW DRIVE, Bowie, MD 20716
Open in Google Maps ↗

Other Names 1

Former Legal Business NameAzar M Dashti Md Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0210097

Bowie Primary Care Inc · Bowie, MD
Active · expires Jul 29, 2027
CLIA Number21D0210097
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorMariam M. Bahrami
Laboratory Phone(301) 262-2627
Laboratory LocationBowie Primary Care Inc4379 Northview Drive, Bowie, MD 20716
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bowie Primary Care, Inc's NPI number?

The NPI number for Bowie Primary Care, Inc is 1205011640. It was assigned to this organization in the NPPES registry on January 3, 2008. The provider was formerly known as Azar M Dashti MD PA.

Where is Bowie Primary Care, Inc located?

Bowie Primary Care, Inc is located at 4379 Northview Drive, Bowie, MD 20716. The listed phone number is (301) 262-2627.

What is Bowie Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Bowie Primary Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0210097) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bowie Primary Care, Inc was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.