# TONY P. KANNARKAT. MD. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376877308
- **Authorized official:** DR. TONY PAPPACHAN KANNARKAT MD (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (301) 587-5090

## Contact information

- **Practice address:** 8201 16TH ST, SUITE 121 BLAIR HOUSE, SILVER SPRING, MD 20910-3240
- **Practice address phone:** (301) 587-5090
- **Practice address fax:** (301) 587-8045
- **Mailing address:** 8201 16TH ST, SUITE 121 BLAIR HOUSE, SILVER SPRING, MD 20910-3240
- **Mailing address phone:** (301) 587-5090
- **Mailing address fax:** (301) 587-8045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0020062 | MD | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 09/23/2009