# AMERICAN DIVERSITY GROUP INC

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

## Provider details

- **NPI number:** 1427813989
- **Authorized official:** MR. MAYUR MODY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (240) 330-9421

## Contact information

- **Practice address:** 12210 PLUM ORCHARD DR STE 214, SILVER SPRING, MD 20904-7913
- **Practice address phone:** (240) 330-9421
- **Practice address fax:** (240) 293-3784
- **Mailing address:** 21204 DORSEY SPRING PL, GERMANTOWN, MD 20876-6923
- **Mailing address phone:** (240) 330-9421
- **Mailing address fax:** (240) 293-3784

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 10/07/2024