| NPI | 1689168627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVID SADOUGHI Owner 240-641-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01623) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-07-07 |