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Contact Information

CLARKSBURG MED INC
23208 BREWERS TAVERN WAY
CLARKSBURG, MD20871-4391
 Phone: 301-515-3333
 Fax: 301-515-3322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLARKSBURG MED INC

NPI # 1174728851
LBN Legal business name CLARKSBURG MED INC
Authorized official HARPAL MANGAT - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2007
Last updated 08/26/2010 - About 16 years ago
Identifiers
MD Medicaid 416697300
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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