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Organization

FAMILY MEDICINE SHADY GROVE

Active
Other names
Family Medicine Shady Grove, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANISHA KALRA M.D. (PHYSICIAN)
(301) 284-8990
Entity
Organization

Contact information

Practice address
15215 SHADY GROVE RD STE 304, ROCKVILLE, MD 20850-0200
(301) 284-8990
(301) 569-4293
Mailing address
15215 SHADY GROVE RD STE 304, ROCKVILLE, MD 20850-0200
(301) 284-8990
(301) 569-4293

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0073851
MD

Other

Enumeration date
11/02/2013
Last updated
04/21/2014
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