Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0086757 | MD |
Y | 111NI0900X | Internist | D0086757 | MD |
NPI | 1003267287 |
---|---|
Provider Name | Dr. Sujan Thapaliya |
First Address | Baltimore, MD 21239-2945 |
Second Address | Baltimore, MD 21239-2945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 26/06/2019 |