Healthcare Provider Details

I. General information

NPI: 1992618946
Provider Name (Legal Business Name): APEX FAMILY CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CARAWAY CT
UPPER MARLBORO MD
20774-5461
US

IV. Provider business mailing address

1300 CARAWAY CT STE 206
UPPER MARLBORO MD
20774-5462
US

V. Phone/Fax

Practice location:
  • Phone: 301-537-6699
  • Fax:
Mailing address:
  • Phone: 757-646-7846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TEFERA TESSEMA
Title or Position: PRACTICE DIRECTOR
Credential:
Phone: 757-646-7846