CLARKSBURG MED INC NPI 1174728851

NPI Information

  • NPI: 1174728851
  • Provider Name: CLARKSBURG MED INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: CLARKSBURG MEDICAL CENTER
  • Address: 23208 BREWERS TAVERN WAY
    CLARKSBURG, MD
    ZIP 20871
  • Phone: (301) 515-3333

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NPI Details

CLARKSBURG MED INC is an internal medicine in Clarksburg, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CLARKSBURG MED INC NPI is 1174728851. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clarksburg Medical Center.

The provider's business location address is:

23208 BREWERS TAVERN WAY
CLARKSBURG, MD
ZIP 20871-391
Phone: (301) 515-3333
Fax: (301) 515-3322

The provider's authorized official is Harpal S Mangat .
The authorized official title is Vice President and has the following contact phone number (301) 515-3333.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 8/26/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5207RS0012XInternal MedicineSleep MedicineNo
6207W00000XOphthalmologyNo
7207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1416697300MEDICAIDMARYLAND
2G02790MEDICARE PINDISTRICT OF COLUMBIA
3130447MEDICARE PINMARYLAND

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: 11/21/2025

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