| NPI | 1679757959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI YALAMANCHILI President 301-846-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1465) |
| Enumeration Date | 2007-12-23 |
| Last Update Date | 2009-03-03 |