Supriya Jagannath Md Llc

LBN: Supriya Jagannath Md Llc
Supriya Jagannath Md Llc is an health care organization with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Supriya Jagannath Md Llc can be contacted via phone (410) 543-7530, or through Jagannath, Supriya Banad via phone (410) 476-7511.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801-5422
Phone: (410) 543-7530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jagannath, Supriya Banad Doctor of Medicine (MD)
Phone: (410) 476-7511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0064112 Maryland

Profile Details

NPI number 1184899403
LBN Legal business name Supriya Jagannath Md Llc
DBA Doing business as
Authorized official Jagannath, Supriya Banad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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 1184899403 NPPES
Maryland MEDICAID 411276800

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