# MONTGOMERY PHYSICIAN ASSOCIATES PC

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

## Provider details

- **NPI number:** 1801989942
- **Authorized official:** DR. ANOMA BANDARA MD (PRESIDENT PHYSICIAN)
- **Authorized official phone:** (301) 948-0098

## Contact information

- **Practice address:** 19241 MONTGOMERY VILLAGE AVENUE, STE E23, MONTGOMERY VILLAGE, MD 20886-5036
- **Practice address phone:** (301) 948-0098
- **Practice address fax:** (301) 926-9180
- **Mailing address:** 19241 MONTGOMERY VILLAGE AVENUE, STE E23, MONTGOMERY VILLAGE, MD 20886-5036
- **Mailing address phone:** (301) 948-0098
- **Mailing address fax:** (301) 926-9180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0031720 | MD | — |
| 207R00000X | Internal Medicine Physician | D0040860 | MD | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | D0031720 | MD | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 09/02/2010