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Individual

AJAY BHASKER RAO GANGALAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
516 N ROLLING RD STE 304, CATONSVILLE, MD 21228-4133
(410) 744-0890
(410) 744-2007
Mailing address
516 N ROLLING RD STE 304, CATONSVILLE, MD 21228-4133
(410) 744-0890
(410) 744-2007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0069296
MD

Other

Enumeration date
01/07/2008
Last updated
09/27/2022
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