Individual
DR. VENKATA DHARMA TEJA SUGNANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 RIVERSIDE DR STE A204, SALISBURY, MD 21801
(443) 358-6193
(443) 358-6197
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0084369
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
06/27/2014
Last updated
11/07/2018
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