# PANSURIYA CLINICAL CORPORATION

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

## Provider details

- **NPI number:** 1558478180
- **Authorized official:** MAGANBHAI PANSURIYA (OWNER/PRESIDENT)
- **Authorized official phone:** (410) 848-2566

## Contact information

- **Practice address:** 349 MALCOLM DRIVE, WESTMINSTER, MD 21157
- **Practice address phone:** (410) 848-2566
- **Practice address fax:** (410) 848-6875
- **Mailing address:** 349 MALCOLM DRIVE, WESTMINSTER, MD 21157
- **Mailing address phone:** (410) 848-2566
- **Mailing address fax:** (410) 848-6875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 03/19/2009