Healthcare Provider Details

I. General information

NPI: 1699987172
Provider Name (Legal Business Name): SRIDHAR CHATRATHI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 HANOVER PARKWAY SUITE 105-A
GREENBELT MD
20770
US

IV. Provider business mailing address

7500 HANOVER PARKWAY SUITE 105-A
GREENBELT MD
20770
US

V. Phone/Fax

Practice location:
  • Phone: 301-220-2220
  • Fax: 301-220-2224
Mailing address:
  • Phone: 301-220-2220
  • Fax: 301-220-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SRIDHAR CHATRATHI
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 301-220-2220