Organization
BEL AIR GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOORKATH S UNNI M.D. (PHYSICIAN)
(410) 803-2211
Entity
Organization
Contact information
Practice address
602 S ATWOOD RD, SUITE 205, BEL AIR, MD 21014-4172
(410) 803-2211
(410) 420-9841
Mailing address
703 NICHOLAS LN, COCKEYSVILLE, MD 21030-1319
(410) 803-2211
(410) 420-9841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0051090
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213100500
—
MD
Enumeration date
06/30/2010
Last updated
06/30/2010
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