Individual
MINU ITTOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3429
(301) 877-4619
Mailing address
15618 BEECH TREE PARKWAY, UPPER MARLBORO, MD 20774
(240) 604-3749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0083932
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
05/22/2014
Last updated
07/21/2022
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