Organization
AASTHA AMDC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREE N SREENATH PH.D., MNO (CEO)
(440) 318-9660
Entity
Organization
Contact information
Practice address
12210 PLUM ORCHARD DR STE 214, SILVER SPRING, MD 20904-7913
(240) 813-3446
(240) 474-0069
Mailing address
12210 PLUM ORCHARD DR STE 214, SILVER SPRING, MD 20904-7913
(240) 813-3446
(240) 474-0069
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-022
MARYLAND STATE LICENSURE
MD
Enumeration date
07/14/2019
Last updated
01/29/2020
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