| NPI | 1831492586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTIN KHLUDENEV Partner 301-869-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0059013) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC D021152) |
| 207Q00000X Family Medicine (Licence: MD H0046438) | |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R129771) | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2025-04-01 |