DEER PARK INTERNAL MEDICINE
NPI 1720277379
Clinic/Center - Medical Specialty in Gaithersburg, MD

Active since October 19, 2007
600 S FREDERICK AVE, SUITE 302, GAITHERSBURG, MD 20877(301) 208-1188(301) 208-1178 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deer Park Internal Medicine NPPES

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

DEER PARK INTERNAL MEDICINE (NPI 1720277379) is a healthcare organization registered as a medical specialty in Gaithersburg, Maryland and active in the NPI registry since October 2007. The organization lists Michelle Hong Tan, Physician, as its authorized official.

NPPES Registry Identity

NPI1720277379
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDEER PARK INTERNAL MEDICINE
Location Address600 S FREDERICK AVE, SUITE 302Gaithersburg, MD 20877-1245
Mailing Address600 S Frederick Ave, Suite 302Gaithersburg, MD 20877-1245 · (301) 208-1188 · Fax (301) 208-1178
Fax(301) 208-1178
Organization SubpartNo
Authorized OfficialMichelle Hong TanPhysician · (301) 208-1188
Enumeration DateOctober 19, 2007
Last NPPES UpdateDecember 3, 2007
NPI 1720277379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in MD · D0060871
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
600 S FREDERICK AVE, Gaithersburg, MD 20877

Other Identifiers 1

Medicare PING02300MD

Other Providers at the Same Location NPPES

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

Internal Medicine
600 S FREDERICK AVE, STE 302
GAITHERSBURG, MD 20877

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 Deer Park Internal Medicine's NPI number?

The NPI number for Deer Park Internal Medicine is 1720277379. It was assigned to this organization in the NPPES registry on October 19, 2007.

Where is Deer Park Internal Medicine located?

Deer Park Internal Medicine is located at 600 S Frederick Ave Suite 302, Gaithersburg, MD 20877. The listed phone number is (301) 208-1188.

What is Deer Park Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Deer Park Internal Medicine was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.