# SUMMIT MEDICAL GROUP LLC

> 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:** 1952970816
- **Authorized official:** NJIDEKA UDOCHI MD (OWNER)
- **Authorized official phone:** (410) 245-2414

## Contact information

- **Practice address:** 6310 STEVENS FOREST RD STE 200, COLUMBIA, MD 21046-1068
- **Practice address phone:** (410) 740-9001
- **Practice address fax:** (410) 740-9005
- **Mailing address:** 14520 EDGEWOODS WAY, GLENELG, MD 21737-9608
- **Mailing address phone:** (410) 245-2414
- **Mailing address fax:** (410) 740-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 12/13/2023