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PARK PEDIATRICS NPI 1144695529


NPI Information

NPI: 1144695529
Provider Name: PARK PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D1010853

Address:
7610 CARROLL AVE STE 400
TAKOMA PARK, MD
ZIP 20912
Phone: (301) 891-6141
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PARK PEDIATRICS is a primary care clinic center in Takoma Park, MD. PARK PEDIATRICS NPI is 1144695529. The provider is registered as an organization entity type.

The provider's business location address is:

7610 CARROLL AVE STE 400
TAKOMA PARK, MD
ZIP 20912-321
Phone: (301) 891-6141

The provider's authorized official is Lavanya Sithanandam .
The authorized official title is Medical Director and has the following contact phone number (301) 891-6141.

The CLIA number assigned to this NPI record is 21D1010853 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareC0005854MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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