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NPI Code Detail

MEDICARE: SHILPA SAROOP PHD

MEDICARE: SHILPA SAROOP PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1164566857
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHILPA SAROOP PHD
Provider Business Mailing Address
First Line : 15817 CRABBS BRANCH WAY
Second Line :
City : ROCKVILLE
State : MD
Zip : 20855-6613
Country : US
Telephone Number : 267-972-8244
Fax Number :
Provider Business Practice Location Address
First Line : 15817 CRABBS BRANCH WAY
Second Line :
City : ROCKVILLE
State : MD
Zip : 20855-6613
Country : US
Telephone Number : 267-972-8244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/18/2011

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Directions to “ SHILPA SAROOP PHD” Practice Location

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