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Organization
FAMILY MEDICINE SHADY GROVE
Active
Organization
FAMILY MEDICINE SHADY GROVE
Active
Other names
Family Medicine Shady Grove, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISHA KALRA M.D. (PHYSICIAN)
(301) 284-8990
Entity
Organization
Contact information
Practice address
15215 SHADY GROVE RD STE 304, ROCKVILLE, MD 20850-0200
(301) 284-8990
(301) 569-4293
Mailing address
15215 SHADY GROVE RD STE 304, ROCKVILLE, MD 20850-0200
(301) 284-8990
(301) 569-4293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0073851
MD
Other
Enumeration date
11/02/2013
Last updated
04/21/2014
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