Suresh Madura L Shandelya MD

NPI 1093792061 - Internal Medicine - 207R00000X

NPI Details
NPI 1093792061
Gender Male
Enumeration Date 12/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
55 WADE AVE
CATONSVILLE MD, 21228-4663, US
Phone (410) 402-6000
Fax
Business Location
3412 PHILIPS DR
PIKESVILLE MD, 21208-1826, US
Phone (410) 484-1993
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Maryland
License Number D0052739
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According to our database, Dr. Suresh Madura L Shandelya MD NPI is 1093792061, taxonomy code is 207R00000X and license number is D0052739, license state is located at Maryland. Suresh Madura L Shandelya MD physically located at 55 Wade Ave, Catonsville MD, 21228-4663. NPI Number Suresh Madura L Shandelya MD has the Individual type.

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1093792061 NPI number is provided on an as is basis without warranty of any kind. 1093792061 is maintained by the National Plan & Provider Enumeration System. The contents of Suresh Madura L Shandelya MD are for informational purposes only.