| NPI | 1558423459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDISH SHESADRI President 301-518-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MD D53411) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-03-03 |