| NPI | 1679112650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISH SHARAD PATEL Medical Doctor 301-620-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2025-06-02 |