Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mira Mace Medical Group PA

Organization Family Medicine Physician · NPI 1487532289

Mira Mace Medical Group PA is a Family Medicine Physician in North Bethesda, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679
Phone: (332) 296-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1487532289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Kumar — Operations Administrator · (332) 296-0021
NPI enumeratedAugust 21, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1111b S Governors Ave Ste 39475, Dover, DE 19904-6903

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