Organization
NEUROLOGY OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S KIRSHNA NANDIPATI MD (CEO)
(301) 843-2222
Entity
Organization
Contact information
Practice address
3500 OLD WASHINGTON RD, SUITE 202, WALDORF, MD 20602-3224
(301) 843-2222
(301) 934-9321
Mailing address
3500 OLD WASHINGTON RD, SUITE 202, WALDORF, MD 20602-3224
(301) 843-2222
(301) 934-9321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D38160
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G939
BLUE CROSS
DC
Enumeration date
09/28/2007
Last updated
09/28/2007
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