# GREENWAY FAMILY MEDICAL PRACTICE, LLC

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

## Provider details

- **NPI number:** 1699149013
- **Authorized official:** MARIAM ASHIQ (ADMINISTRATOR)
- **Authorized official phone:** (301) 313-0425

## Contact information

- **Practice address:** 7525 GREENWAY CENTER DR, 105, GREENBELT, MD 20770-3509
- **Practice address phone:** (301) 313-0425
- **Practice address fax:** (301) 313-0435
- **Mailing address:** 7525 GREENWAY CENTER DR, 105, GREENBELT, MD 20770-3509
- **Mailing address phone:** (301) 313-0425
- **Mailing address fax:** (301) 313-0435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MD | Yes |
| 207R00000X | Internal Medicine Physician | — | MD | — |
| 208000000X | Pediatrics Physician | — | MD | — |
| 2080P0205X | Pediatric Endocrinology Physician | — | MD | — |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 11/23/2015