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ADVANCED GENERAL PRACTICE LLC NPI 1386131118


NPI Information

NPI: 1386131118
Provider Name: ADVANCED GENERAL PRACTICE, LLC

Doing Business As: ADVANCED GENERAL PRACTICE, LLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
12501 PROSPERITY DR STE 330
SILVER SPRING, MD
ZIP 20904
Phone: (301) 592-1780
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ADVANCED GENERAL PRACTICE, LLC is an internal medicine in Silver Spring, 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. ADVANCED GENERAL PRACTICE, LLC NPI is 1386131118. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced General Practice, Llc.

The provider's business location address is:

12501 PROSPERITY DR STE 330
SILVER SPRING, MD
ZIP 20904-655
Phone: (301) 592-1780
Fax: (240) 645-4013

The provider's authorized official is Isis M Diaz .
The authorized official title is Office Manager and has the following contact phone number (301) 592-1780.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 3/31/2021.


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
1207R00000XInternal MedicineD0074695MARSHALL ISLANDSYes

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
1446936400MEDICAIDMARYLAND
2280571YQNZOTHERMARYLANDMARYLAND

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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