Organization
PARK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVANYA SITHANANDAM M.D. (MEDICAL DIRECTOR)
(301) 891-6141
Entity
Organization
Contact information
Practice address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
Mailing address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C0005854
MD
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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