OrganizationActive
Deer Park Internal Medicine
NPI 1720277379 · Medical Specialty Clinic/Center · Gaithersburg, MD
Provider details
- NPI number
- 1720277379
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Tan, Physician(301) 208-1188
- License
- D0060871 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 S Frederick Ave
Suite 302
Gaithersburg, MD 20877-1245
Phone: (301) 208-1188
Fax: (301) 208-1178
Street-level locationGet directions
Mailing address
600 S Frederick Ave
Gaithersburg, MD 20877-1245
Registry dates
- Enumerated
- 2007-10-19
- Last updated
- 2007-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.