| NPI | 1871642314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ PRATAP MATHUR Owner 202-722-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD19927) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0042403) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101054105) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-08-11 |