Individual
PRASHANTH PARAMESH SANTHEKADUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11055 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-2896
(410) 884-1311
(410) 884-6033
Mailing address
PO BOX 2377, ELLICOTT CITY, MD 21041-2377
(410) 884-1311
(410) 884-6033
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0066350
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402077400
—
MD
01
—
G972
BLUE CHOICE , FEP
MD
01
—
KES7IN
CAREFIRST MARYLAND GROUP #
MD
Enumeration date
04/06/2007
Last updated
05/12/2008
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