| NPI | 1497935605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMA MITTAL Medical Director 240-453-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD D0061382) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-05-14 |