Individual
AMIT PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1521
(301) 774-6655
(301) 774-5652
Mailing address
2901 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1521
(301) 774-6655
(301) 774-5652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002692300
—
FL
05
—
062283600
—
DC
Enumeration date
09/25/2007
Last updated
09/29/2023
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