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Organization

P4 PHYSICIANS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHEELA REDDY ED. D (PRESIDENT)
(862) 803-1079
Entity
Organization

Contact information

Practice address
8000 VIRGINIA MANOR RD STE 170, BELTSVILLE, MD 20705-4230
(301) 715-3805
(301) 715-3805
Mailing address
8000 VIRGINIA MANOR RD STE 170, BELTSVILLE, MD 20705-4230
(862) 803-1079

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04313
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
10/03/2017
Last updated
03/18/2026
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