| NPI | 1144420647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARGESH PRAMODRAY MEHTA Owner/Physician 410-535-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0046264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0045092) |
| 208000000X Pediatrics (Licence: MD D0064682) | |
| 208000000X Pediatrics (Licence: MD D0054328) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2009-10-06 |