Family Medicine Shady Grove

NPI #1588093371 in Rockville, Maryland

Provider Information

NPI Number: 1588093371
Entity Type: Organization
Organization Name: Family Medicine Shady Grove
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2013
Last Updated: Apr 21, 2014

Practice Location

Address: 15215 SHADY GROVE RD STE 304
City: Rockville
State: Maryland
ZIP Code: 20850-0200
Phone: (301) 284-8990

Authorized Official

Name: DR. MANISHA KALRA, M.D.
Title: PHYSICIAN
Phone: (301) 284-8990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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