Organization
MAITRI MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDISH SHESADRI M.D (PRESIDENT)
(301) 518-2701
Entity
Organization
Contact information
Practice address
7207 HANOVER PKWY STE B, GREENBELT, MD 20770-2015
(410) 531-5787
Mailing address
PO BOX 98, CLARKSVILLE, MD 21029-0098
(410) 531-5787
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D53411
MD
Other
Enumeration date
12/15/2006
Last updated
03/03/2014
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