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Organization
CYRIAC AND MUNDRA, MD, PA
Active
Organization
CYRIAC AND MUNDRA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA P MUNDRA M.D. (PRESIDENT)
(410) 761-8200
Entity
Organization
Contact information
Practice address
8021 RITCHIE HWY, PASADENA, MD 21122-1016
(410) 761-8200
(410) 761-1331
Mailing address
8021 RITCHIE HWY, PASADENA, MD 21122-1016
(410) 761-8200
(410) 761-1331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G7956
RAILROAD MEDICARE
—
01
—
LR22CY
BLUESHIELD OF MARYLAND
MD
01
—
S079
BLUESHIELD OF DC
DC
Enumeration date
08/05/2006
Last updated
08/22/2020
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