Individual
DR. NATESA PANDIAN SHANMUGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 GREENBELT RD, SUITE 101, LANHAM, MD 20706-2273
(301) 552-6666
Mailing address
12204 SELINE WAY, POTOMAC, MD 20854-2872
(202) 468-3303
(301) 762-0408
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0050412
MD
207RP1001X
Pulmonary Disease Physician
MD21776
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110223746
UHC RAIL ROAD
MD
01
—
6875-0043
CARE FIRST BLUE CROSS
MD
05
—
746801600
—
MD
Enumeration date
07/05/2006
Last updated
05/06/2025
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