Comprehensive Primary Care and Associates, LLC
Organization Active NPI Internal Medicine Physician · Germantown, MD
NPI 1073334801 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1073334801
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
- Practice address
- 20410 Observation Dr Ste 210
Germantown, MD 20876-6422 - Phone
- (301) 407-1466
- Fax
- (301) 417-4941
- NPI assigned
- Oct 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Ian C Lampkin
- Title
- Credentialing Pe Specialist
- Phone
- (667) 303-1042
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Comprehenisve Primary Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
20410 Observation Dr Ste 210
Germantown, MD 20876-6422
Mailing address
15245 Shady Grove Rd Ste 340
Rockville, MD 20850-7201
Phone (301) 869-9776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420692401 | Medicaid | MD |
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All providers in Germantown, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.