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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

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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