| NPI | 1477091478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHUSUDAN PANTHI Office Manager 703-485-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2022-07-18 |