Kannan, Sujatha

Kannan, Sujatha is an individual health care provider with primary practice located at 1800 Orleans St Bloomberg Cc 6321, Baltimore MD 21287-0010. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Kannan, Sujatha can be contacted via phone (410) 955-6412.

Contact Information

Primary practice address
1800 Orleans St Bloomberg Cc 6321 Baltimore MD 21287-0010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301072890 Michigan
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X D72754 Maryland

Profile Details

NPI number 1871531947
LBN Legal business name Kannan, Sujatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 13th, 2013 - about 11 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 1871531947 NPPES
Maryland MEDICAID 046493700

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