| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 06/25/2014 |
| Medicare PECOS PAC ID | 8325268295 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538189329 PECOS PAC ID: 5193861102 Enrollment ID: I20101108000614 |
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