Kempanna Sudhakar Md Pc | |
7610 Carroll Ave Suite 230 Takoma Park MD 20912-6384 | |
(301) 891-2303 | |
(301) 891-2487 |
Full Name | Kempanna Sudhakar Md Pc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 7610 Carroll Ave, Takoma Park, Maryland |
Authorized Official Name and Position | Kempanna Sudhakar (PRESIDENT) |
Authorized Official Contact | 3018912303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kempanna Sudhakar Md Pc 7610 Carroll Ave Suite 230 Takoma Park MD 20912-6384 Ph: (301) 891-2303 | Kempanna Sudhakar Md Pc 7610 Carroll Ave Suite 230 Takoma Park MD 20912-6384 Ph: (301) 891-2303 |
NPI Number | 1538309612 |
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Provider Enumeration Date | 03/02/2009 |
Last Update Date | 04/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538309612 | NPI | - | NPPES |
798711100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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