| NPI | 1104347095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOBHA LATHA SOLOMON President 301-367-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD R120906) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-11-23 |