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GREAT HEALTH MEDICAL GROUP MD PC
NPI 1407662901
Clinic/Center - Primary Care in Lutherville, MD

Active since December 09, 2024
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093(718) 470-0288 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Dec 9, 2024 (2 updates tracked since 2024).

About Great Health Medical Group Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT HEALTH MEDICAL GROUP MD PC (NPI 1407662901) is a healthcare organization registered as a primary care in Lutherville, Maryland and active in the NPI registry since December 2024. The organization lists Azlan Tariq, Owner, as its authorized official.

NPPES Registry Identity

NPI1407662901
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREAT HEALTH MEDICAL GROUP MD PC
Location Address515 BRIGHTFIELD RDLutherville, MD 21093-3643
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590
Phone(718) 470-0288
Organization SubpartNo
Authorized OfficialAzlan TariqOwner · (312) 709-7238
Enumeration DateDecember 9, 2024
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1407662901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
515 BRIGHTFIELD RD, Lutherville, MD 21093
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANJULA RAMACHANDRAN
Physical Therapist
515 BRIGHTFIELD RD
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 296-1990
DR. ROBERT DANIEL SCHEELER DPT
Physical Therapist
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (410) 296-1990
JENNA PERSIO MS CCC-SLP
Speech-Language Pathologist
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (443) 695-4050
MR. DAVID DWAYNE DUNBAR PTA
Physical Therapy Assistant
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (410) 832-2398
STEPHANIE CANTOR OTR/L
Occupational Therapist
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (410) 296-1990
JOHN ROBERTO VELASCO COTA/L
Occupational Therapy Assistant
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (410) 296-1990
CATHY HARRIS BLACKWELL COTA
Occupational Therapy Assistant
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (410) 296-1990
CHAYA G POLIRER
Occupational Therapy Assistant
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093
Baltimore County (410) 296-1990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Health Medical Group MD PC's NPI number?

The NPI number for Great Health Medical Group MD PC is 1407662901. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Great Health Medical Group MD PC located?

Great Health Medical Group MD PC is located at 515 Brightfield Rd, Lutherville, MD 21093. The listed phone number is (718) 470-0288.

What is Great Health Medical Group MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Great Health Medical Group MD PC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.