Organization
GOVINDARAJU MADHIRAJU M.D., P.A.
Active
Other names
Govind Madhiraju M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUHAS MADHIRAJU M.D. (VICE PRESIDENT)
(410) 686-3931
Entity
Organization
Contact information
Practice address
201 BALLARD AVE, MIDDLE RIVER, MD 21220-3632
(410) 686-3931
(410) 686-3932
Mailing address
201 BALLARD AVE, MIDDLE RIVER, MD 21220-3632
(410) 686-3931
(410) 686-3932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KCE8
BLUE CROSS/BLUE SHIELD
MD
01
—
R103
BLUE CHOICE
MD
Enumeration date
08/21/2006
Last updated
09/11/2025
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