Organization
SHANKAR C. NAGANNA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN SADOWSKI NAGANNA (ADMINISTRATOR)
(443) 289-8286
Entity
Organization
Contact information
Practice address
686 A POOLE ROAD, WESTMINSTER, MD 21157-6177
(443) 289-8286
(443) 289-8295
Mailing address
686 A POOLE ROAD, WESTMINSTER, MD 21157-6177
(443) 289-8286
(443) 289-8295
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0059552
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1840995
CIGNA
MD
01
—
7496418
AETNA
MD
Enumeration date
06/13/2014
Last updated
06/25/2014
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