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COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC NPI 1831492586


NPI Information

NPI: 1831492586
Provider Name: COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 21D1027560

Address:
15825 SHADY GROVE RD
SUITE 140
ROCKVILLE, MD
ZIP 20850
Phone: (301) 869-9776
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COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC is a family medicine in Rockville, 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. COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC NPI is 1831492586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15825 SHADY GROVE RD
SUITE 140
ROCKVILLE, MD
ZIP 20850
Phone: (301) 869-9776
Fax: (301) 216-2592

The provider's authorized official is Konstantin Khludenev .
The authorized official title is Partner and has the following contact phone number (301) 869-9776.

The CLIA number assigned to this NPI record is 21D1027560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2010 and was last updated on 2/12/2024.


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 MedicineD021152DISTRICT OF COLUMBIANo
2207R00000XInternal MedicineD0059013MARYLANDNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RN0300XInternal MedicineNephrologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207RR0500XInternal MedicineRheumatologyNo
7363A00000XPhysician AssistantNo
8363LA2200XNurse PractitionerAdult HealthR129771MARYLANDNo
9207Q00000XFamily MedicineH0046438MARYLANDYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.