Srishti Rau, PHD | |
15245 Shady Grove Rd, Ste 350, Rockville, MD 20850 | |
(301) 765-5430 | |
Not Available |
Full Name | Srishti Rau |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 15245 Shady Grove Rd, Rockville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255786398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 05963 (Maryland) | Secondary |
103TC0700X | Psychologist - Clinical | PSY1001365 (District Of Columbia) | Primary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Mailing Address | Practice Location Address |
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Srishti Rau, PHD 15245 Shady Grove Rd Ste 350, Rockville, MD 20850-6237 Ph: () - | Srishti Rau, PHD 15245 Shady Grove Rd, Ste 350, Rockville, MD 20850 Ph: (301) 765-5430 |
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