| NPI | 1104325760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ MATHUR Md 301-520-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: DC MD19927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD036400) |
| 207R00000X Internal Medicine (Licence: MD D0065086) | |
| 207R00000X Internal Medicine (Licence: VA 0101240111) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: MD D0042403) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: VA 0101054105) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2021-08-11 |