| Organization Name: | ADULT AND PEDIATRIC CLINIC, PC |
| NPI Number: | 1497935605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAMA MITTAL (MEDICAL DIRECTOR) |
| Mailing Address: | 14816 Physicians Ln Suite 152 Rockville |
| State: | MD US |
| Postal Code: | 208503944 |
| Phone Number: | 2404530000 |
| Fax Number: | 2404530089 |
| NPI Enumeration Date: | 11/06/2007 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0061382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |