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MONTGOMERY MEDICAL ASSOCIATES P.C. NPI 1760432462


NPI Information

NPI: 1760432462
Provider Name: MONTGOMERY MEDICAL ASSOCIATES, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
10110 MOLECULAR DRIVE
SUITE 206
ROCKVILLE, MD
ZIP 20850
Phone: (301) 279-2779
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MONTGOMERY MEDICAL ASSOCIATES, P.C. is a specialist in Rockville, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MONTGOMERY MEDICAL ASSOCIATES, P.C. NPI is 1760432462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10110 MOLECULAR DRIVE
SUITE 206
ROCKVILLE, MD
ZIP 20850-542
Phone: (301) 279-2779
Fax: (301) 279-2767

The provider's authorized official is Anushiravan Dadgar .
The authorized official title is Owner and has the following contact phone number (301) 279-2779.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/2/2017.


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
1174400000XSpecialistD0069766MARYLANDNo
2174400000XSpecialistD0067332MARYLANDYes

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
1G00650MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIAGROUP NUMBER
2404776101MEDICAIDMARYLAND
3404776100MEDICAIDMARYLAND

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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