| NPI | 1861652646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJIT GOPAL KURUP Owner / President 301-873-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0063681) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2012-09-25 |