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Organization
PARK PEDIATRICS
Active
Organization
PARK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SITHANANDAM SADHASIVAM M.D. (PEDIATRICIAN)
(301) 891-6141
Entity
Organization
Contact information
Practice address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
(301) 891-6841
Mailing address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
(301) 891-6841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400651800
—
MD
Enumeration date
04/25/2007
Last updated
01/07/2025
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