Organization
PARK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVANYA SITHANANDAM MD (MEDICAL DIRECTOR)
(301) 891-6141
Entity
Organization
Contact information
Practice address
501 N FREDERICK AVE STE 320, GAITHERSBURG, MD 20877-2507
(240) 801-4903
(240) 801-4905
Mailing address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
(301) 891-6841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440205702
—
MD
Enumeration date
01/07/2025
Last updated
01/08/2025
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