Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Park Pediatrics

Organization Pediatrics Physician · NPI 1093637720

Park Pediatrics provides Pediatrics Physician services 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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