| NPI | 1669860128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVI HUBBLY Physician 301-528-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D62562) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-05-24 |