Active NPI
Prohealthcare, LLC
- Internal Medicine Physician
- Germantown, MD
National Provider Identifier
1376632323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0056428
- Legal business name
- PROHEALTHCARE, LLC
- Practice address
- 19519 Doctors Dr
Germantown, MD 20874-5247 - Phone
- (301) 916-7861
- Fax
- (301) 916-5267
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amjad Malik
- Title
- Member Manager
- Phone
- (301) 916-7861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0056428 | MD | Primary |
Addresses
Primary practice location
19519 Doctors Dr
Germantown, MD 20874-5247
Mailing address
PO Box 2185
Germantown, MD 20875-2185
Phone (301) 916-7861
National Provider Directory
National Provider DirectoryLocations
19519 Doctors Dr
Germantown, MD 20874
Phone (301) 204-5474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Vienna, VA
- NPI 1295744381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376632323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2185",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208752185",
"telephone_number": "301-916-7861",
"fax_number": "301-916-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19519 DOCTORS DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208745247",
"telephone_number": "301-916-7861",
"fax_number": "301-916-5267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "AMJAD",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "301-916-7861",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0056428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.