Organization
KENTLANDS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIE SEPEHRI MD (PHYSICIAN)
(240) 888-3609
Entity
Organization
Contact information
Practice address
108 KENT SQUARE RD, GAITHERSBURG, MD 20878-5650
(240) 888-3609
Mailing address
108 KENT SQUARE RD, GAITHERSBURG, MD 20878-5650
(240) 888-3609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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