| NPI | 1376877308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY PAPPACHAN KANNARKAT Physician/President 301-587-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0020062) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |