| Anitha Subbanna, | |
|
100 Hospital Rd, Prince Frederick, MD 20678-4017 | |
| (410) 535-4000 | |
| Not Available |
| Full Name | Anitha Subbanna |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 100 Hospital Rd, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851550453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | D84336 (Maryland) | Secondary |
| 208000000X | Pediatrics | 0101244415 (Virginia) | Secondary |
| 208000000X | Pediatrics | D84336 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Anitha Subbanna, 5161 Sapphire Sky Ln, Centreville, VA 20120-3012 Ph: () - | Anitha Subbanna, 100 Hospital Rd, Prince Frederick, MD 20678-4017 Ph: (410) 535-4000 |
Dr. Meena Poddar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 301-855-1012 | |
Carolina Maman-applewhite, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-414-4644 | |
Michael A. Skolnick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Rd, Suite 207, Prince Frederick, MD 20678 Phone: 410-535-5959 Fax: 410-414-4662 | |
Dr. Upendra Mahat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-414-4629 Fax: 410-414-4591 | |
Deborah Helene Bear, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-414-4629 Fax: 410-414-4591 | |
Meghan M. Chiu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Rd, Suite 207, Prince Frederick, MD 20678 Phone: 410-535-5959 Fax: 410-414-4662 | |
Bhargesh Pramodray Mehta, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 110 Hospital Rd, Suite 205, Prince Frederick, MD 20678 Phone: 410-535-5555 Fax: 410-535-5599 |