NPIMap

Organization Active NPI

Preetimd, LLC

  • Primary Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1649960600
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREETIMD, LLC
Practice address
15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256
Phone
(301) 738-0053
Fax
(301) 738-1052
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Preeti Bendala, MDNPI 1427304815
Title
Owner
Phone
(301) 738-0053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256

Mailing address

15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256
Phone (301) 738-0053

National Provider Directory

National Provider Directory

Locations

15200 Shady Grove Rd
Ste 400
Rockville, MD 20850
Phone (301) 738-0053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1649960600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506256",
            "telephone_number": "301-738-0053",
            "fax_number": "301-738-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506256",
            "telephone_number": "301-738-0053",
            "fax_number": "301-738-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREETIMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "BENDALA",
        "authorized_official_first_name": "PREETI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-738-0053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 11, 2023; 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.