| Neurology Office, Pc | |
|
3500 Old Washington Rd Suite 202 Waldorf MD 20602-3224 | |
| (301) 843-2222 | |
| (301) 934-9321 |
| Full Name | Neurology Office, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3500 Old Washington Rd, Waldorf, Maryland |
| Authorized Official Name and Position | S Kirshna Nandipati (CEO) |
| Authorized Official Contact | 3018432222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Office, Pc 3500 Old Washington Rd Suite 202 Waldorf MD 20602-3224 Ph: (301) 843-2222 | Neurology Office, Pc 3500 Old Washington Rd Suite 202 Waldorf MD 20602-3224 Ph: (301) 843-2222 |
| NPI Number | 1619164142 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619164142 | NPI | - | NPPES |
| G939 | Other | DC | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D38160 (Maryland) | Primary |
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