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

Pax River Medical Clinic, LLC

Organization General Practice Physician · NPI 1083807085

Pax River Medical Clinic, LLC is a General Practice Physician in Lexington Park, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

46940 S Shangri La Dr Ste #19
Lexington Park, MD 20653-1037
Phone: (301) 863-8101
Fax: (301) 863-8130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence H0055958 (MD)

Record details

NPI number1083807085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Martin — Owner · (301) 863-8101
NPI enumeratedAugust 22, 2007
Last updated in NPPESMay 9, 2014
Mailing address46940 S Shangri La Dr, Suite #19, Lexington Park, MD 20653-1037

Other providers in Lexington Park