| NPI | 1144964156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDER KUMAR GATTU Medical Director 240-616-1616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-09-03 |