Ganjoo, Dida K.
Ganjoo, Dida K. is an sole proprietor health care provider with primary practice located at 3060 Mitchellville Rd Suite 104, Bowie MD 20716-1389. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ganjoo, Dida K. can be contacted via phone (301) 218-4220.Contact Information
Primary practice address
3060 Mitchellville Rd Suite 104
Bowie MD 20716-1389
Phone: (301) 218-4220
Fax: (301) 218-4330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0036532 | Maryland |
Profile Details
| NPI number | 1265451470 |
|---|---|
| LBN Legal business name | Ganjoo, Dida K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 15th, 2011 - about 13 years ago |
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 | 1265451470 | NPPES |
| Maryland | MEDICAID | 095591400 |
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