| NPI | 1568170546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX S MOHSENI Physician Owner 301-706-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-03-25 |