Organization
SHOBHA CHIDAMBARAM, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOBHA I CHIDAMBARAM M.D. (C.E.O)
(301) 839-1590
Entity
Organization
Contact information
Practice address
1406 GREENWOOD PL, ALEXANDRIA, VA 22304-1604
(301) 839-1590
Mailing address
6196 OXON HILL RD, SUITE 220, OXON HILL, MD 20745-3100
(301) 839-1590
(301) 839-2690
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0029744
MD
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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