Healthcare Provider Details

I. General information

NPI: 1184403214
Provider Name (Legal Business Name): ADVANCED MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19703 EXECUTIVE PARK CIR
GERMANTOWN MD
20874-2639
US

IV. Provider business mailing address

19701 EXECUTIVE PARK CIR
GERMANTOWN MD
20874-2639
US

V. Phone/Fax

Practice location:
  • Phone: 301-540-9447
  • Fax: 301-640-5129
Mailing address:
  • Phone: 301-540-9447
  • Fax: 301-640-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: PIYUSH K PATEL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-540-9447