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1134731987
SUMEDH SHIVKUMAR
BOWIE, MD
NPI
1134731987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 27997)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
SUMEDH SHIVKUMAR DPT
14300 GALLANT FOX LN STE 115
BOWIE, MD 20715-4031
Phone number: 301-853-0093
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Mailing Address
SUMEDH SHIVKUMAR DPT
14205 PARK CENTER DR STE 204
LAUREL, MD 20707-5252
Phone number: 301-853-0093
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