NEUROLOGY OFFICE PC NPI 1619164142

NPI Information

  • NPI: 1619164142
  • Provider Name: NEUROLOGY OFFICE, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3500 OLD WASHINGTON RD
    SUITE 202
    WALDORF, MD
    ZIP 20602
  • Phone: (301) 843-2222

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NPI Details

NEUROLOGY OFFICE, PC is a family medicine in Waldorf, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEUROLOGY OFFICE, PC NPI is 1619164142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 OLD WASHINGTON RD
SUITE 202
WALDORF, MD
ZIP 20602-224
Phone: (301) 843-2222
Fax: (301) 934-9321

The provider's authorized official is S Kirshna Nandipati .
The authorized official title is Ceo and has the following contact phone number (301) 843-2222.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 9/28/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineD38160MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G939OTHERDISTRICT OF COLUMBIABLUE CROSS
2721MMEDICARE PINMARYLAND
3B06178MEDICARE UPINMARYLAND
4C08926MEDICARE PINVIRGINIA

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: 11/21/2025

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