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Organization

SRIG MED LLC

Active
Other names
SRIG MED LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ATCHUTHA GEETHA CHAN CHILAKAMARRI (MD)
(240) 439-8812
Entity
Organization

Contact information

Practice address
21030 FREDERICK RD STE 102G, GERMANTOWN, MD 20876-4133
(240) 393-6880
Mailing address
11829 PEPPERVINE DR # 20871, CLARKSBURG, MD 20871-6312
(240) 393-6880

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
207RG0300X
Geriatric Medicine (Internal Medicine) Physician

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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