| Organization Name: | KENTLANDS MEDICAL ASSOCIATES P.C |
| NPI Number: | 1023337003 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUPINDER SINGH (PRESIDENT) |
| Mailing Address: | 344 Main St Suite 100 Gaithersburg |
| State: | MD US |
| Postal Code: | 208785563 |
| Phone Number: | 2406320333 |
| Fax Number: | 2406320661 |
| NPI Enumeration Date: | 05/30/2010 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | D0055335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |