Provider Demographics
NPI:1811578347
Name:INTEGRATED MEDICAL CLINIC
Entity Type:Organization
Organization Name:INTEGRATED MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-521-8000
Mailing Address - Street 1:7404 EXECUTIVE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6237
Mailing Address - Country:US
Mailing Address - Phone:240-260-3827
Mailing Address - Fax:240-260-3830
Practice Address - Street 1:7404 EXECUTIVE PL STE 100
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6237
Practice Address - Country:US
Practice Address - Phone:240-758-1782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health