| NPI | 1558085845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP SRIVASTAVA CEO 301-312-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |