# MONTGOMERY MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1386089183
- **Authorized official:** ANUSHIRAVAN DADGAR D.O. (CMO AND FOUNDER)
- **Authorized official phone:** (301) 343-6505

## Contact information

- **Practice address:** 10110 MOLECULAR DR, SUITE 206, ROCKVILLE, MD 20850-7539
- **Practice address phone:** (301) 279-2779
- **Practice address fax:** (240) 403-0190
- **Mailing address:** 10110 MOLECULAR DR, SUITE 206, ROCKVILLE, MD 20850-7539
- **Mailing address phone:** (301) 279-2779
- **Mailing address fax:** (240) 403-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | H0051280 | MD | Yes |

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 05/07/2013
