Provider Demographics
NPI:1902420177
Name:MD PRIMARY CARE PHYSICIANS LLC
Entity Type:Organization
Organization Name:MD PRIMARY CARE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KESAR
Authorized Official - Middle Name:JEET
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-593-2273
Mailing Address - Street 1:12820 MACBETH FARM LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1555
Mailing Address - Country:US
Mailing Address - Phone:609-680-9119
Mailing Address - Fax:301-797-7788
Practice Address - Street 1:9801 GEORGIA AVE STE 118
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-593-2273
Practice Address - Fax:301-797-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care