Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 18978 | MS |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD045066 | DC |
NPI | 1215147350 |
---|---|
Provider Name | Dr. Suvankar Majumdar |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 26/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00207211 | (05) | MS |
512I370101 | MEDICARE PTAN (01) | MS |