Healthcare Provider Details

I. General information

NPI: 1144291204
Provider Name (Legal Business Name): MEDICAL ACCESS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12321 MIDDLEBROOK RD STE 101
GERMANTOWN MD
20874-1512
US

IV. Provider business mailing address

12321 MIDDLEBROOK RD
GERMANTOWN MD
20874-1591
US

V. Phone/Fax

Practice location:
  • Phone: 301-428-1070
  • Fax: 301-428-3192
Mailing address:
  • Phone: 301-428-1070
  • Fax: 301-428-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberD0046747
License Number StateMD

VIII. Authorized Official

Name: MANBIR TAKHAR
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-428-1070