Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 101237518 | VA |
Y | 207X00000X | Orthopaedic Surgeon | D0058635 | MD |
N | 207X00000X | Orthopaedic Surgeon | MD035780 | DC |
N | 207XS0106X | Orthopaedic Hand Surgeon | 101237518 | VA |
N | 207XS0106X | Orthopaedic Hand Surgeon | D0058635 | MD |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD035780 | DC |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 101237518 | VA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | D0058635 | MD |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD035780 | DC |
NPI | 1336238153 |
---|---|
Provider Name | Dr. Sunjay Berdia |
First Address | Rockville, MD 20850-8726 |
Second Address | Rockville, MD 20850-8726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276460 | ANTHEM (01) | MD |
355271 | ALLIANCE/MAMSI (01) | MD |
355271 | MDIPA/OPCHOICE (01) | MD |
37520009 | BLUE CROSS OF NATL CAP AR (01) | DC |
41670601 | CAREFIRST BLUE CROSS (01) | MD |
7138750002 | CIGNA (01) | MD |
7360409 | AETNA (01) | MD |
H69255 | (02) |