Organization
BENIGN DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIDEHI KANNAN M.D (CLINICAL DIRECTOR)
(301) 787-1218
Entity
Organization
Contact information
Practice address
7858 BEECHCRAFT AVE, GAITHERSBURG, MD 20879-1542
(301) 787-1216
Mailing address
15807 CHAGALL TER, NORTH POTOMAC, MD 20878-3461
(301) 787-1216
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1832
MD
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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