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WASHINGTON MEDICAL CLINIC LLC NPI 1427444108


NPI Information

NPI: 1427444108
Provider Name: WASHINGTON MEDICAL CLINIC, LLC

Doing Business As: WASHINGTON MEDICAL CLINIC, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 21D2119941

Address:
12510 PROSPERITY DR
SUITE # 320
SILVER SPRING, MD
ZIP 20904
Phone: (301) 755-3380
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WASHINGTON MEDICAL CLINIC, LLC is a family medicine in Silver Spring, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WASHINGTON MEDICAL CLINIC, LLC NPI is 1427444108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Washington Medical Clinic, Llc.

The provider's business location address is:

12510 PROSPERITY DR
SUITE # 320
SILVER SPRING, MD
ZIP 20904-663
Phone: (301) 755-3380
Fax: (866) 596-1084

The provider's authorized official is Elizabeth N. Obi .
The authorized official title is President /owner and has the following contact phone number (301) 908-2116.

The CLIA number assigned to this NPI record is 21D2119941 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2015 and was last updated on 4/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineR142632MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F1213055OTHERMARYLANDAMERICAN ACADEMY NURSE PRACTITONERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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