Organization
SANJIV K. SAINI M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV K SAINI (OWNER ADMINISTRATOR)
(301) 863-7310
Entity
Organization
Contact information
Practice address
22335 EXPLORATION DR, SUITE 2005, LEXINGTON PARK, MD 20653-2014
(301) 863-7310
(301) 863-7642
Mailing address
22335 EXPLORATION DR, SUITE 2005, LEXINGTON PARK, MD 20653-2014
(301) 863-7310
(301) 863-7642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D31545
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5546265
AETNA HEALTHCARE PROVIDER
MD
01
—
8140 SK
BLUE CROSS PROVIDER
MD
05
—
995802900
—
MD
01
—
D31545
STATE LICENSE NUMBER
MD
01
—
W054 0001
FEDERAL BLUE CROSS PROVID
DC
Enumeration date
02/15/2007
Last updated
12/18/2012
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