Organization
COMPREHENSIVE PEDIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH KANTHULA MD (PHYSICIAN)
(202) 320-4312
Entity
Organization
Contact information
Practice address
9400 LIVINGSTON RD STE 320, FORT WASHINGTON, MD 20744-4966
(202) 320-4312
Mailing address
9400 LIVINGSTON RD STE 320, FORT WASHINGTON, MD 20744-4966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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