| NPI | 1790192656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEELA A CHACKO Md 301-270-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0038488) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |