Healthcare Provider Details

I. General information

NPI: 1841006012
Provider Name (Legal Business Name): M MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 DEMOCRACY BLVD
BETHESDA MD
20817-1679
US

IV. Provider business mailing address

4806 U ST NW
WASHINGTON DC
20007-1546
US

V. Phone/Fax

Practice location:
  • Phone: 301-530-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KRYSTLE D BROWN
Title or Position: BILLING MANAGER
Credential:
Phone: 410-870-9380