Individual provider · Type 1 NPI

Eugide Kasongo Othepa, MD

Family Medicine Physician · Berlin, MD

NPI number 1639819212 Active

Practice location

10614 Racetrack Rd Unit 5
Berlin, MD 21811-3383

Mailing address

7045 Antebellum Way
Frederick, MD 21703-7479

Other practice locations

  • 7045 Antebellum Way, Frederick, MD 21703-7479 · (571) 458-9569

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000XD0102990 (MD)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1639819212

Eugide Kasongo Othepa, MD's National Provider Identifier is 1639819212, issued on Mar 31, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Berlin, MD. The record was last updated on Jul 9, 2025.