# PREMIER PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1568275600
- **Authorized official:** DR. SASSAN TAGHIZADEHMOGHADDAM (CFO/MEMBER)
- **Authorized official phone:** (202) 269-4770

## Contact information

- **Practice address:** 3546 WORTHINGTON BLVD UNIT 301, FREDERICK, MD 21704-7126
- **Practice address phone:** (301) 979-9772
- **Practice address fax:** (301) 355-0076
- **Mailing address:** PO BOX 34202, BETHESDA, MD 20827-0202
- **Mailing address phone:** (301) 979-9772
- **Mailing address fax:** (301) 355-0076

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2025
- **Last updated:** 03/26/2025