Individual
SHELLY SHARMA VALLIATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6000 EXECUTIVE BLVD STE 101, ROCKVILLE, MD 20852-3816
(240) 599-1001
Mailing address
6000 EXECUTIVE BLVD STE 101, ROCKVILLE, MD 20852-3816
(240) 599-1001
(240) 599-1001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R226136
MD
Other
Enumeration date
12/10/2019
Last updated
11/30/2023
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