Individual
VIVEKKUMAR K SHROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 MILL GREEN AVE UNIT 100, GAITHERSBURG, MD 20878-5838
(704) 975-1878
Mailing address
SHADY GROVE MEDICAL CENTER, 1396 PICCARD DR, ROCKVILLE, MD 20878
(301) 548-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD440559
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT190603
PA
Other
Enumeration date
05/14/2008
Last updated
07/09/2021
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