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
Phone: (410) 955-6412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871531947 | NPPES |
| Maryland | MEDICAID | 046493700 |
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