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NPI Code Detail

MEDICARE: M MEDICAL GROUP INC

MEDICARE: M MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1912845553
Entity Type Code : Organization
Provider Name (Legal Business Name) : M MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 6 E EAGER ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21202-2506
Country : US
Telephone Number : 410-870-9380
Fax Number :
Provider Business Practice Location Address
First Line : 13908 NEW HAMPSHIRE AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-6212
Country : US
Telephone Number : 240-331-5980
Fax Number :
Authorized Official
Title or Position : RCM CEO
Name : KRYSTLE D BROWN
Credential :
Telephone Number : 410-800-6251
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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