Urbana Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

URBANA PRIMARY CARE LLC

Practice address

3546 Worthington Blvd Unit 301
Urbana, MD 21704-7126

Phone

(301) 979-9772

Fax

(301) 355-0076

NPI assigned

Aug 26, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Sassan Taghizadehmoghaddam

Title

Provider/Owner

Phone

(301) 356-3017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1962319947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208270202",
            "telephone_number": "301-979-9772",
            "fax_number": "301-355-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 WORTHINGTON BLVD UNIT 301",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047126",
            "telephone_number": "301-979-9772",
            "fax_number": "301-355-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANA PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "TAGHIZADEHMOGHADDAM",
        "authorized_official_first_name": "SASSAN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "301-356-3017",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Urbana, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.