Individual
JANAK A VIDYARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 ANNAPOLIS RD, SUITE 100, ODENTON, MD 21113-1648
(410) 672-2255
Mailing address
1130 ANNAPOLIS RD, STE 103, ODENTON, MD 21113-1735
(410) 672-2255
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
D73586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025815720001
—
PA
Enumeration date
06/07/2007
Last updated
02/06/2017
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