Errabolu, Jeevan
Errabolu, Jeevan is an individual health care provider with primary practice located at 503 Byrn St Ste 1 Ste 1, Cambridge MD 21613-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Errabolu, Jeevan can be contacted via phone (410) 221-7770.Contact Information
Primary practice address
503 Byrn St Ste 1 Ste 1
Cambridge MD 21613-1917
Phone: (410) 221-7770
Fax: (410) 221-7863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D69234 | Maryland |
Profile Details
| NPI number | 1215165543 |
|---|---|
| LBN Legal business name | Errabolu, Jeevan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Mar 20th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215165543 | NPPES |
| Maryland | MEDICAID | 418278200 |
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