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

Poolesville Family Practice LLC

Organization Family Medicine Physician · NPI 1790953065

Poolesville Family Practice LLC is a Family Medicine Physician in Poolesville, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
In the registry since
2008
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

19710 Fisher Ave Ste J
Poolesville, MD 20837-0108
Phone: (301) 972-7600
Fax: (301) 972-8006
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H61505 (MD)

Record details

NPI number1790953065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amar Duggirala — Family Physician · (301) 972-7600
NPI enumeratedFebruary 20, 2008
Last updated in NPPESFebruary 20, 2008
Mailing address19710 Fisher Ave, Suite J, Po Box 108, Poolesville, MD 20837-2098

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