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Organization

PHYSICIANS AUDIOLOGY CENTER, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANJAY PRASAD M.D. (PRACTICE OWNER)
(301) 493-9409
Entity
Organization

Contact information

Practice address
1101 WOOTTON PKWY, SUITE 900, ROCKVILLE, MD 20852-1059
(301) 493-9409
(301) 493-9429
Mailing address
1101 WOOTTON PKWY, SUITE 900, ROCKVILLE, MD 20852-1059
(301) 493-9409
(301) 493-9429

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0101048706
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548524168
NPI
MD
01
1568745750
NPI
MD
01
1962762674
NPI
MD
Enumeration date
09/15/2015
Last updated
09/15/2015
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