Organization Active NPI

Montgomery Medical Services

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1386089183
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0051280 Issued in MD
Legal business name
MONTGOMERY MEDICAL SERVICES
Practice address
10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539
Phone
(301) 279-2779
Fax
(240) 403-0190
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anushiravan Dadgar, D.O.NPI 1023066362
Title
Cmo and Founder
Phone
(301) 343-6505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H0051280 MD Primary

Addresses

Primary practice location

10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539

Mailing address

10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539
Phone (301) 279-2779

National Provider Directory

National Provider Directory

Locations

10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1386089183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539",
            "telephone_number": "301-279-2779",
            "fax_number": "240-403-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539",
            "telephone_number": "301-279-2779",
            "fax_number": "240-403-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "DADGAR",
        "authorized_official_first_name": "ANUSHIRAVAN",
        "authorized_official_title_or_position": "CMO AND FOUNDER",
        "authorized_official_telephone_number": "301-343-6505",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0051280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.