| NPI | 1912965997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFAAT ULLAH KHAN Medical Director 301-733-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0060377) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2025-11-24 |