# PENINSULA GASTROENTEROLOGY ASSN , P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437245859
- **Authorized official:** KOTA CHANDRASEKHARA M.D. (PRESIDENT)
- **Authorized official phone:** (410) 896-3693

## Contact information

- **Practice address:** 9315 OCEAN HWY, SUITE B, DELMAR, MD 21875-2339
- **Practice address phone:** (410) 896-3693
- **Practice address fax:** (410) 896-3698
- **Mailing address:** PO BOX 157, DELMAR, DE 19940-0157
- **Mailing address phone:** (410) 896-3693
- **Mailing address fax:** (410) 896-3698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 05/11/2009