# OLNEY MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1720019011
- **Authorized official:** GAURANG THAKER MD (OWNER)
- **Authorized official phone:** (301) 774-5260

## Contact information

- **Practice address:** 3411 OLANDWOOD CT, SUITE 105, OLNEY, MD 20832-1488
- **Practice address phone:** (301) 774-5260
- **Practice address fax:** (301) 774-1336
- **Mailing address:** PO BOX 157, ASHTON, MD 20861-0157
- **Mailing address phone:** (301) 570-9700
- **Mailing address fax:** (301) 260-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D43430 | MD | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 06/30/2010