Jayanthan.M.D.,P.A

LBN: Jayanthan.M.D.,P.A
Jayanthan.M.D.,P.A is an health care organization with primary practice located at 3328 Old Washington Rd , Waldorf MD 20602-3204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jayanthan.M.D.,P.A can be contacted via phone (301) 932-4954, or through Jayanthan, Nirmaladevi via phone (301) 932-4954.

Contact Information

Primary practice address
3328 Old Washington Rd Waldorf MD 20602-3204
Phone: (301) 932-4954
Fax: (301) 932-5095
Website:
Map and Directions
Authorized official contact:
Name: Jayanthan, Nirmaladevi
Phone: (301) 932-4954

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D45737 Maryland

Profile Details

NPI number 1316111651
LBN Legal business name Jayanthan.M.D.,P.A
DBA Doing business as
Authorized official Jayanthan, Nirmaladevi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Mar 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316111651 NPPES
Maryland MEDICAID 400866900

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