Individual
MR. ARDDHY BULANADI RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
128 LUCCA LN, ABINGDON, MD 21009-1476
(240) 354-4087
Mailing address
6710A ROCKLEDGE DR STE 400, BETHESDA, MD 20817-2847
(240) 763-2496
(240) 763-2497
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R200049
MD
Other
Enumeration date
06/14/2019
Last updated
02/03/2021
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