Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Pediatrics

Organization Pediatrics Physician · NPI 1093637720

Park Pediatrics is a Pediatrics Physician in Frederick, Maryland. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

75 Thomas Johnson Dr Ste D
Frederick, MD 21702-4895
Phone: (301) 891-6141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1093637720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lavanya Sithanandam — Medical Director · (301) 891-6141
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address7610 Carroll Ave Ste 400, Takoma Park, MD 20912-6321

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