Mira Mace Medical Group PA
NPI #1487532289 in North Bethesda, Maryland
Provider Information
- NPI Number
- 1487532289
- Entity Type
- Organization
- Organization Name
- Mira Mace Medical Group PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 21, 2025
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 11810 GRAND PARK AVE STE 500
- City
- North Bethesda
- State
- Maryland
- ZIP Code
- 20852-8679
- Phone
- (332) 296-0021
Authorized Official
- Name
- JAGADEESH JAGARLAMUDI
- Title
- OPERATIONS ADMINISTRATOR
- Phone
- (332) 296-0021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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