Organization
DHURVACARE ENTERPRISES, LLC
Active
Other names
Shakthi Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTHI RAO-MAHADEVIA M.D. (MEDICAL DIRECTOR)
(301) 703-5067
Entity
Organization
Contact information
Practice address
2702 BACK ACRE CIRCLE, SUITE 290C, MOUNT AIRY, MD 21711-7769
(301) 703-5067
(301) 703-5067
Mailing address
2702 BACK ACRE CIRCLE, SUITE 290C, MOUNT AIRY, MD 21711-7769
(301) 703-5067
(301) 703-5067
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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