Prendergast, Kathleen

Prendergast, Kathleen is an individual health care provider with primary practice located at 300 Hospital Dr Suite 119, Glen Burnie MD 21061-6902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Prendergast, Kathleen can be contacted via phone (410) 787-4940.

Contact Information

Primary practice address
300 Hospital Dr Suite 119 Glen Burnie MD 21061-6902
Phone: (410) 787-4940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X D0063787 Maryland

Profile Details

NPI number 1649260753
LBN Legal business name Prendergast, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Oct 16th, 2014 - 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 1649260753 NPPES
Maryland Other 62213902 CAREFIRST BLUE CROSS
Maryland Other 108887 CAREFIRST BLUE CROSS
Maryland Other 5831489 CAREFIRST BLUE CROSS
Maryland Other 7973311 CAREFIRST BLUE CROSS
Maryland Other 4987 CAREFIRST BLUE CROSS
Maryland Other F591-0022 CAREFIRST BLUE CROSS
Maryland MEDICAID 403539901 CAREFIRST BLUE CROSS
Maryland Other 194995 CAREFIRST BLUE CROSS
Maryland Other 3301092 CAREFIRST BLUE CROSS
Maryland Other 1080315 CAREFIRST BLUE CROSS

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