| Park Pediatrics | |
|
7610 Carroll Ave Ste 400 Takoma Park MD 20912-6321 | |
| (301) 891-6141 | |
| Not Available |
| Full Name | Park Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7610 Carroll Ave Ste 400, Takoma Park, Maryland |
| Authorized Official Name and Position | Lavanya Sithanandam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3018916141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Pediatrics 7610 Carroll Ave Ste 400 Takoma Park MD 20912-6321 Ph: (301) 891-6141 | Park Pediatrics 7610 Carroll Ave Ste 400 Takoma Park MD 20912-6321 Ph: (301) 891-6141 |
| NPI Number | 1144695529 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144695529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C0005854 (Maryland) | Primary |
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