Organization
ADVANCED GENERAL PRACTICE, LLC
Active
Other names
ADVANCED GENERAL PRACTICE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAORA P NOUMMY (OFFICE MANAGER)
(301) 592-1780
Entity
Organization
Contact information
Practice address
7221 HANOVER PKWY STE C, GREENBELT, MD 20770-2022
(301) 592-1780
(240) 645-4013
Mailing address
3533 KNOLLCREST CT, LAUREL, MD 20724-1923
(301) 592-1780
(240) 645-4013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0074695
MH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280571YQNZ
MARYLAND
MD
05
—
446936400
—
MD
Enumeration date
04/17/2018
Last updated
01/12/2026
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