| NPI | 1821370644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHAB Z. SIDDIQUI Md/Owner 301-791-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care (Licence: MD D0072433) | |
| 282E00000X (Licence: MD D0072433) | |
| 282NR1301X General Acute Care Hospital, Rural (Licence: MD D0072433) | |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2013-06-25 |