Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mira Mace Medical Group PA

Organization Family Medicine Physician · NPI 1487532289

Mira Mace Medical Group PA provides Family Medicine Physician services in North Bethesda, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679
Phone: (332) 296-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1487532289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Kumar — Operations Administrator · (332) 296-0021
NPI enumeratedAugust 21, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1111b S Governors Ave Ste 39475, Dover, DE 19904-6903

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