# MODERN MED CONSULT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1336933704
- **Authorized official:** DR. CALVIN RICHARDS ND, PA-C (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 382-5669

## Contact information

- **Practice address:** 1611 ROSEMONT AVE, FREDERICK, MD 21702-4134
- **Practice address phone:** (443) 338-0036
- **Practice address fax:** (240) 363-0007
- **Mailing address:** 5257 BUCKEYSTOWN PIKE \# 482, FREDERICK, MD 21704-7535
- **Mailing address phone:** (443) 338-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 04/08/2025
- **Last updated:** 07/13/2025