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:
Authorized official contact:
Name: Jagannath, Supriya Banad Doctor of Medicine (MD)
Phone: (410) 476-7511
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184899403 | NPPES |
Maryland | MEDICAID | 411276800 |
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