# CHESAPEAKE PRIMARY CARE GROUP PA

> 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:** 1609989730
- **Authorized official:** DR. PRADEEP GARG M.D. (PRESIDENT)
- **Authorized official phone:** (410) 360-2400

## Contact information

- **Practice address:** 4304 MOUNTAIN RD, PASADENA, MD 21122-4520
- **Practice address phone:** (410) 360-2400
- **Practice address fax:** (410) 439-3342
- **Mailing address:** 14650 VIBURNUM DR, DAYTON, MD 21036-1246
- **Mailing address phone:** (410) 360-2400
- **Mailing address fax:** (410) 439-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D31322 | MD | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 05/06/2011