Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | D0038037 | MD |
NPI | 1013955640 |
---|---|
Provider Name | Dr. Sailaja Nandipati |
First Address | Waldorf, MD 20603-4527 |
Second Address | Waldorf, MD 20602-3224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
391192600 | (05) | MD |
466904 | BLUE CROSS (01) | VA |
B59928 | (02) | MD |
G938 | BLUE CROSS (01) | DC |
KEW2AR | BLUE CROSS (01) | MD |
P00073690 | RAILROAD MEDICARE (01) | MD |