| NPI | 1841778784 |
|---|---|
| Former Legal Business Name | YOUR FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAHI KRISHNAN PRABHAKARAN President 301-442-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD R113675) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |