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Organization

P4 PATHOLOGY P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SATHISH KOTHANDARAM (PRESIDENT & C E O)
(702) 727-6466
Entity
Organization

Contact information

Practice address
8000 VIRGINIA MANOR RD STE 170, BELTSVILLE, MD 20705-4230
(301) 715-3805
Mailing address
8000 VIRGINIA MANOR RD STE 170, BELTSVILLE, MD 20705-4230
(301) 715-3805

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
09/18/2017
Last updated
03/26/2024
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