OLDE TOWNE PRIMARY CARE LLC NPI 1417315813

NPI Information

  • NPI: 1417315813
  • Provider Name: OLDE TOWNE PRIMARY CARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 317 E DIAMOND AVE
    C1
    GAITHERSBURG, MD
    ZIP 20877
  • Phone: (240) 246-1111

Map and Directions

Get Directions

NPI Details

OLDE TOWNE PRIMARY CARE LLC is a primary care clinic center in Gaithersburg, MD. OLDE TOWNE PRIMARY CARE LLC NPI is 1417315813. The provider is registered as an organization entity type.

The provider's business location address is:

317 E DIAMOND AVE
C1
GAITHERSBURG, MD
ZIP 20877-093
Phone: (240) 246-1111

The provider's authorized official is Rasha Bafi Saleem .
The authorized official title is Managing Owner and has the following contact phone number (202) 316-4407.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 10/25/2016.

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
1261QP2300XClinic/CenterPrimary CareYes

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

NPI Synchronization or Removal

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.