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Contact Information

MY MED CLINIC PA
19731 EXECUTIVE PARK CIR
GERMANTOWN, MD20874-2642
 Phone: 301-698-3245
 Fax: 301-698-3246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MY MED CLINIC PA

NPI Number 1245403849
LBN Legal business name MY MED CLINIC PA
Authorized official FARZANA AJMAL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2008
Last updated 12/25/2013 - About 12 years ago
Identifiers
MD License # D0065301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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