COMPREHENISVE PRIMARY CARE LLC NPI 1902862154

NPI Information

  • NPI: 1902862154
  • Provider Name: COMPREHENISVE PRIMARY CARE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 15825 SHADY GROVE RD
    SUITE 140
    ROCKVILLE, MD
    ZIP 20850
  • Phone: (301) 869-9776

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NPI Details

COMPREHENISVE PRIMARY CARE, LLC is a family medicine in Rockville, 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. COMPREHENISVE PRIMARY CARE, LLC NPI is 1902862154. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15825 SHADY GROVE RD
SUITE 140
ROCKVILLE, MD
ZIP 20850-008
Phone: (301) 869-9776

The provider's authorized official is Konstantin Khludenev .
The authorized official title is Managing Partner and has the following contact phone number (301) 869-9776.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 10/14/2008.

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
1363LA2200XNurse PractitionerAdult HealthR129771MARYLANDNo
2207R00000XInternal MedicineD0059013MARYLANDNo
3207Q00000XFamily MedicineH0046438MARYLANDYes

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
1G01546MEDICARE PINMARYLAND

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

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