# ANSH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053147090
- **Authorized official:** KIRANDEEP KAUR (OWNER)
- **Authorized official phone:** (240) 319-1388

## Contact information

- **Practice address:** 4255 ALTAMONT PL STE 203, WHITE PLAINS, MD 20695-3024
- **Practice address phone:** (301) 638-9505
- **Practice address fax:** (301) 705-8831
- **Mailing address:** 1027 SUFFOLK DR, LA PLATA, MD 20646-3507
- **Mailing address phone:** (240) 319-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024