Organization · Type 2 NPI
Krystal Medical Associates LLC
Primary Care Clinic/Center · Glenn Dale, MD
NPI number
1164604187
Active
Practice location
12150 Annapolis Rd Ste 100
Glenn Dale, MD 20769-9183
Fax (866) 885-9817
Mailing address
PO Box 7321
Largo, MD 20792-7321
Other practice locations
- 650 Pennsylvania Ave SE, Washington, DC 20003-4318 · (301) 464-7601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | D0053461 (MD) |
| Primary Care Clinic/Center Primary | 261QP2300X | D0053461 (MD) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Darlington Nwoke UchechukwuFamily Nurse Practitioner Glenn Dale, MD NPI 1487474995
- Isaac Osei Owusu, NPFamily Nurse Practitioner Glenn Dale, MD NPI 1265131536
- Nwaehihie Harrison Onyeaghala, MDGeneral Practice Physician Glenn Dale, MD NPI 1114938800
- Prudence Ayuk, FNPFamily Nurse Practitioner Glenn Dale, MD NPI 1194698779
Other primary care clinic/center providers in Glenn Dale
- Proactive Healthcare Services LLCPrimary Care Clinic/Center Glenn Dale, MD NPI 1124981592
- Morayo Medical LLCPrimary Care Clinic/Center Glenn Dale, MD NPI 1154039162
- Aptitude Healthcare IncPrimary Care Clinic/Center Glenn Dale, MD NPI 1184424020
- Health Seekers Medical Clinic LLCPrimary Care Clinic/Center Glenn Dale, MD NPI 1396403549
- Maryland Children Health CenterPrimary Care Clinic/Center Glenn Dale, MD NPI 1558635235
About NPI 1164604187
Krystal Medical Associates LLC's National Provider Identifier is 1164604187, issued on Nov 30, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Glenn Dale, MD. The record was last updated on Sep 4, 2026.