1205854767 NPI number — GREATER METROPOLITAN ORTHOPAEDICS

Table of content: DR. MAYA CHANDRAN KUMAR M.D. (NPI 1346346020)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205854767 NPI number — GREATER METROPOLITAN ORTHOPAEDICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREATER METROPOLITAN ORTHOPAEDICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205854767
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8926 WOODYARD RD
Provider Second Line Business Mailing Address:
SUITE 701
Provider Business Mailing Address City Name:
CLINTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20735-4220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-856-1682
Provider Business Mailing Address Fax Number:
301-856-0964

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8926 WOODYARD RD
Provider Second Line Business Practice Location Address:
SUITE 701
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20735-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-856-1682
Provider Business Practice Location Address Fax Number:
301-856-0964
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SABLOFF
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
301-856-1682

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2081P2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0117X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363AS0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2491418 . This is a "AETNA GROUP PROVIDER # VIRGINIA LOCATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1205140639 . This is a "LORTON VIRGINIA LOCATION NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1801102504 . This is a "WALDORF MARYLAND LOCATION NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2803674 . This is a "AETNA GROUP PROVIDER # WALDORF LOCATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: S176 . This is a "BCBS MD GRP PROVIDER#" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1194039511 . This is a "SPRINGFIELD VIRGINIA LOCATION NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 145530100 . This is a "DEPARTMENT OF LABOR PROV#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1548576242 . This is a "ALEXANDRIA VIRGINIA LOCATION NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21D1105636 . This is a "CLIA NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: CI2264 . This is a "RAILROAD MEDICARE PTAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0254450001 . This is a "MEDICARE NSC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0455415 . This is a "AETNA GROUP PROVIDER # CLINTON LOCATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: DG8302 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4695 . This is a "BCBS NCA GRP PROV#" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 712403 . This is a "UNITED HEALTH CARE/MAMSI GROUP PROVIDER#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1184930885 . This is a "CLINTON MARYLAND LOCATION NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1942514450 . This is a "MOUNT VERNON VIRGINIA LOCATION NPI" identifier . This identifiers is of the category "OTHER".




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