# NEUROLOGY OFFICE, PC

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

## Provider details

- **NPI number:** 1619164142
- **Authorized official:** S KIRSHNA NANDIPATI MD (CEO)
- **Authorized official phone:** (301) 843-2222

## Contact information

- **Practice address:** 3500 OLD WASHINGTON RD, SUITE 202, WALDORF, MD 20602-3224
- **Practice address phone:** (301) 843-2222
- **Practice address fax:** (301) 934-9321
- **Mailing address:** 3500 OLD WASHINGTON RD, SUITE 202, WALDORF, MD 20602-3224
- **Mailing address phone:** (301) 843-2222
- **Mailing address fax:** (301) 934-9321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D38160 | MD | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 09/28/2007