Shankar C. Naganna Md Pa | |
686 A Poole Road Westminster MD 21157-6177 | |
(443) 289-8286 | |
(443) 289-8295 |
Full Name | Shankar C. Naganna Md Pa |
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Speciality | Clinic/Center |
Location | 686 A Poole Road, Westminster, Maryland |
Authorized Official Name and Position | Karen Sadowski Naganna (ADMINISTRATOR) |
Authorized Official Contact | 4432898286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shankar C. Naganna Md Pa 686 A Poole Road Westminster MD 21157-6177 Ph: (443) 289-8286 | Shankar C. Naganna Md Pa 686 A Poole Road Westminster MD 21157-6177 Ph: (443) 289-8286 |
NPI Number | 1770997181 |
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Provider Enumeration Date | 06/13/2014 |
Last Update Date | 06/25/2014 |
Medicare PECOS PAC ID | 8325268295 |
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Medicare Enrollment ID | O20140929001000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770997181 | NPI | - | NPPES |
7496418 | Other | MD | AETNA |
1840995 | Other | MD | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | D0059552 (Maryland) | Primary |
Provider Name | Gourishankar C Naganna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538189329 PECOS PAC ID: 5193861102 Enrollment ID: I20101108000614 |
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