NPIMap

Comprehensive Primary Care and Associates, LLC

Organization Active NPI Internal Medicine Physician · Montgomery Village, MD

NPI 1972324705 · NPPES record last updated Oct 23, 2024

Key facts

NPI
1972324705
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Practice address
18550 Office Park Dr
Montgomery Village, MD 20886-0586
Phone
(301) 330-2700
Fax
(301) 417-4937
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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Comprehenisve Primary Care (25 organizations share this tax ID)

Locations

18550 Office Park Dr
Montgomery Village, MD 20886
Phone (301) 330-2700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

18550 Office Park Dr
Montgomery Village, MD 20886-0586

Mailing address

15825 Shady Grove Rd Ste 140
Rockville, MD 20850-4015
Phone (667) 303-1042

Other identifiers

IdentifierTypeStateIssuer
420692404MedicaidMD

Other providers in Montgomery Village, MD

All providers in Montgomery Village, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.