# Maryland Medical First P.A. > Maryland Medical First P.A. provides primary care, including chronic disease management, preventive medicine, and wound care, in Parkville, Maryland. Maryland Medical First P.A. is a primary care practice in Parkville, Maryland, led by board-certified internal medicine physician Narender Bharaj, MD, and certified registered nurse practitioners Regine Guefack and Jisha Varghese. The practice emphasizes comprehensive care for acute and chronic conditions, operating in outpatient, hospital, and skilled rehab settings. Dr. Bharaj provides wound care in-office and at Good Samaritan Hospital. The practice focuses on total wellness through preventive medicine, immunizations, physicals, and health screenings. They manage chronic conditions such as heart disease, hypertension, diabetes, and arthritis. Providers address patient questions and concerns, ensuring diligent follow-up for effective treatment. Disclaimer: This information is for informational purposes only and does not constitute medical advice. ## Key Pages - [About Us](https://www.marylandmedicalfirst.org/about) ## Booking & Contact - [Schedule Appointment](https://www.marylandmedicalfirst.org/schedule) - [Contact Us](https://www.marylandmedicalfirst.org/contact-us) - [Patient Registration](https://www.marylandmedicalfirst.org/registration) - [Prepare for Your Visit](https://www.marylandmedicalfirst.org/visit) - [Pay Your Bill](https://www.marylandmedicalfirst.org/pay-now) - [Parkville Location](https://www.marylandmedicalfirst.org/parkville-md) ## Providers - [Narender Bharaj, MD](https://www.marylandmedicalfirst.org/narender-bharaj-md): Board Certified Internist - [Jisha Varghese, A-GNP-C](https://www.marylandmedicalfirst.org/jisha-varghese-a-gnp-c): Certified Registered Nurse Practitioner - [Regine Guefack, CRNP](https://www.marylandmedicalfirst.org/regine-guefack-crnp): Certified Registered Nurse Practitioner - [Dr. Andrew Warner](https://www.marylandmedicalfirst.org/dr-andrew-warner) ## Services - [Annual Physical](https://www.marylandmedicalfirst.org/services/annual-physical) - [Arthritis](https://www.marylandmedicalfirst.org/services/arthritis) - [Diabetes](https://www.marylandmedicalfirst.org/services/diabetes) - [Heart Disease](https://www.marylandmedicalfirst.org/services/heart-disease) - [High Cholesterol](https://www.marylandmedicalfirst.org/services/high-cholesterol) - [Hypertension / High Blood Pressure](https://www.marylandmedicalfirst.org/services/hypertension-high-blood-pressure) - [Primary Care](https://www.marylandmedicalfirst.org/services/primary-care) - [Wound Care](https://www.marylandmedicalfirst.org/services/wound-care) ## Policies - [Terms of Use](https://www.marylandmedicalfirst.org/our-terms) - [Privacy Policy](https://www.marylandmedicalfirst.org/your-privacy) - [Accessibility Statement](https://www.marylandmedicalfirst.org/accessibility-statement) ## Blog - [Blog Archive](https://www.marylandmedicalfirst.org/blog-archive) - [Diabetes and Foot Health: Preventing Major Complications](https://www.marylandmedicalfirst.org/blog/diabetes-and-foot-health-preventing-major-complications) - [Is My Joint Pain Arthritis or General?](https://www.marylandmedicalfirst.org/blog/is-my-joint-pain-arthritis-or-general) - [Spring Is in the Air: How to Prepare for Allergy Season](https://www.marylandmedicalfirst.org/blog/spring-is-in-the-air-how-to-prepare-for-allergy-season) - [Ready to Get Moving? How to Safely Start a New Exercise Routine](https://www.marylandmedicalfirst.org/blog/ready-to-get-moving-how-to-safely-start-a-new-exercise-routine) - [Beyond Diet and Exercise: A Surprising Way to Protect Your Heart](https://www.marylandmedicalfirst.org/blog/beyond-diet-and-exercise-a-surprising-way-to-protect-your-heart) - [Listen to Your Heart: 3 Warning Signs You Shouldn’t Ignore](https://www.marylandmedicalfirst.org/blog/listen-to-your-heart-3-warning-signs-you-shouldnt-ignore) - [Blog Archive](https://www.visfl.com/blog-archive) - [How Stress Impacts Blood Pressure and Your Heart Health](https://www.visfl.com/how-stress-impacts-blood-pressure-and-your-heart-health) - [Small Changes To Help You Manage Your Type 2 Diabetes](https://www.visfl.com/small-changes-to-help-you-manage-your-type-2-diabetes)