Healthcare Provider Details

I. General information

NPI: 1356137798
Provider Name (Legal Business Name): ACCESS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 GROSVENOR LN
BETHESDA MD
20814-1833
US

IV. Provider business mailing address

1205 YORK RD STE 11
LUTHERVILLE MD
21093-6211
US

V. Phone/Fax

Practice location:
  • Phone: 301-530-1600
  • Fax:
Mailing address:
  • Phone: 443-325-0031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN KAMAU NGUGI
Title or Position: CO-OWNER
Credential: NP
Phone: 443-248-1929