Advanced General Practice, Llc

LBN: Advanced General Practice, Llc
Advanced General Practice, Llc is an health care organization with primary practice located at 12501 Prosperity Dr Ste 330 , Silver Spring MD 20904-1655. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Advanced General Practice, Llc can be contacted via phone (301) 592-1780, or through Diaz, Isis M via phone (301) 592-1780.

Contact Information

Primary practice address
12501 Prosperity Dr Ste 330 Silver Spring MD 20904-1655
Phone: (301) 592-1780
Fax: (240) 645-4013
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Isis M
Phone: (301) 592-1780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0074695 Mh

Profile Details

NPI number 1386131118
LBN Legal business name Advanced General Practice, Llc
DBA Doing business as Advanced General Practice, Llc
Authorized official Diaz, Isis M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2018
Last updated Mar 31st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386131118 NPPES
Maryland MEDICAID 446936400
Maryland Other 280571YQNZ

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