Organization
MAADHAVA ELLAURIE MD PC
Active
Other names
capitol allergy & asthma center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAADHAVA ELLAURIE M.D. (OWNER)
(301) 775-5173
Entity
Organization
Contact information
Practice address
3450 FORT MEADE RD STE 103, LAUREL, MD 20724-2040
(301) 775-5173
(301) 776-4213
Mailing address
46440 BENEDICT DR STE 212, STERLING, VA 20164-6602
(703) 444-0817
(703) 444-0893
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
06/20/2008
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