Gonchigar, Mruthyunjaya

Gonchigar, Mruthyunjaya is an individual health care provider with primary practice located at 196 Thomas Johnson Dr Suite 215, Frederick MD 21702-4397. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Gonchigar, Mruthyunjaya can be contacted via phone (301) 668-9988.

Contact Information

Primary practice address
196 Thomas Johnson Dr Suite 215 Frederick MD 21702-4397
Phone: (301) 668-9988
Fax: (301) 668-9977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X D0050726 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0050726 Maryland

Profile Details

NPI number 1043275449
LBN Legal business name Gonchigar, Mruthyunjaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 5th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043275449 NPPES
Maryland Other P00875961 MEDICARE RAILROAD
Maryland Other 697L395D MEDICARE RAILROAD

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