Individual
A CATHERINE PURUSHOTHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7600 CARROLL AVE, WASHINGTON ADVENTIST HOSPITAL, TAKOMA PARK, MD 20912-6367
(301) 891-7600
Mailing address
11 SHAW AVE, SILVER SPRING, MD 20904-3408
(301) 622-5673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D24071
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
D24071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55058100
—
MD
Enumeration date
11/06/2006
Last updated
11/12/2008
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