| NPI | 1588093371 |
|---|---|
| Doing Business As | FAMILY MEDICINE SHADY GROVE, LLC |
| Entity Type | Organization |
| Authorized Contact | MANISHA KALRA Physician 301-284-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0073851) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2014-04-21 |