Organization · Type 2 NPI

Medstar Medical Group II LLC

General Practice Physician · Ellicott City, MD

NPI number 1962174599 Active

Practice location

9501 Old Annapolis Rd Ste 220
Ellicott City, MD 21042-6332

Mailing address

2233 Wisconsin Ave NW Ste 420
Washington, DC 20007-4122

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1962174599

Medstar Medical Group II LLC's National Provider Identifier is 1962174599, issued on Oct 1, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ellicott City, MD. The record was last updated on Oct 1, 2026.