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MY MED CLINIC PA NPI 1245403849


NPI Information

NPI: 1245403849
Provider Name: MY MED CLINIC PA
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 21D2125594

Address:
19731 EXECUTIVE PARK CIR
GERMANTOWN, MD
ZIP 20874
Phone: (301) 698-3245
Get Directions

MY MED CLINIC PA is a geriatric medicine family medicine in Germantown, MD. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MY MED CLINIC PA NPI is 1245403849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19731 EXECUTIVE PARK CIR
GERMANTOWN, MD
ZIP 20874-642
Phone: (301) 698-3245
Fax: (301) 698-3246

The provider's authorized official is Farzana Ajmal .
The authorized official title is Owner and has the following contact phone number (301) 698-3245.

The CLIA number assigned to this NPI record is 21D2125594 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 12/25/2013.


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
1207QG0300XFamily MedicineGeriatric MedicineD0065301MARYLANDYes

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: 5/5/2024

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