Individual
MS. BABITA MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3003 HOSPITAL DR, CHEVERLY, MD 20785-1194
(301) 583-3340
(301) 583-3350
Mailing address
8808 STONEHAVEN CT, POTOMAC, MD 20854-3632
(202) 374-6427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CO1934
MD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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