FAMILY MEDICAL & REHAB CENTER NPI 1235308248

NPI Information

  • NPI: 1235308248
  • Provider Name: FAMILY MEDICAL & REHAB CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D1066965
  • Address: 610 PROFESSIONAL DR
    235
    GAITHERSBURG, MD
    ZIP 20879
  • Phone: (301) 740-8551

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NPI Details

FAMILY MEDICAL & REHAB CENTER is a family medicine in Gaithersburg, 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. FAMILY MEDICAL & REHAB CENTER NPI is 1235308248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

610 PROFESSIONAL DR
235
GAITHERSBURG, MD
ZIP 20879-413
Phone: (301) 740-8551
Fax: (301) 740-9056

The provider's authorized official is Enoh Edet Akpandak .
The authorized official title is Meeical Director and has the following contact phone number (301) 740-9055.

The CLIA number assigned to this NPI record is 21D1066965 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2008 and was last updated on 2/23/2008.

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
1207Q00000XFamily MedicineD00061946MARYLANDYes

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
1I41904MEDICARE UPIN
2G02119MEDICARE PIN

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: 3/30/2025

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