# CLARKSBURG MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1063721629
- **Authorized official:** DR. HARPAL SINGH MANGAT MD (CEO)
- **Authorized official phone:** (301) 921-6429

## Contact information

- **Practice address:** 12850 MIDDLEBROOK RD \#429, GERMANTOWN, MD 20874-5255
- **Practice address phone:** (301) 921-6429
- **Mailing address:** 12850 MIDDLEBROOK RD \#429, GERMANTOWN, MD 20874-5255
- **Mailing address phone:** (301) 921-6429
- **Mailing address fax:** (301) 515-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 09/30/2010
- **Last updated:** 09/30/2026