DR. INDU MAGO SUD (NPI# 1174634869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174634869 |
| Entity Type | Individual |
| Full Name | DR. INDU MAGO SUD |
| Credential | MD |
| Practice Address |
17958 Pond Rd Ashton MD 20861-9756 |
| Practice Telephone | 3017741987 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
D0020769 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
17958 POND RD |
| City | ASHTON |
| State | MD |
| Zip Code | 20861-9756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144236704 | Kuchak K Jalali | Family Medicine | 108 Olney Sandy Spring Rd, Ashton, MD 20861 | 2006-08-01 |
| 1285029686 | Seemi Patel | Pharmacist | 2 Ashton Rd, Ashton, MD 20861-3300 | 2015-04-02 |
| 1902325285 | Melissa Glover | Pharmacist | 2 Ashton Rd, Ashton, MD 20861-3300 | 2017-09-18 |
| 1457805079 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2 Ashton Rd, Ashton, MD 20861-3300 | 2016-08-11 |
| 1720307036 | Nancy Takahashi | Acupuncturist | 237 Ashton Rd, Ashton, MD 20861-3305 | 2010-05-26 |
| 1558807065 | Carol Cober | Counselor | 237 Ashton Rd, Ashton, MD 20861-3305 | 2017-01-09 |
| 1841632395 | Erin Smith Acupuncture | Acupuncturist | 237 Ashton Rd, Ashton, MD 20861-3305 | 2013-07-25 |
| 1942551692 | Irene Yusra Czapary | Dietitian, Registered | 237 Ashton Rd, Ashton, MD 20861-3305 | 2012-09-20 |
| 1487922423 | Erin Elizabeth Smith | Acupuncturist | 237 Ashton Rd, Ashton, MD 20861-3305 | 2011-12-05 |
| 1508387168 | Ronda S. Mclean | Social Worker | 321 Westlawn Dr, Ashton, MD 20861-3338 | 2017-07-04 |
| Find all providers in zip 20861 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631951 | Carrie Schmitt | Psychiatry & Neurology | 8470 Dorsey Run Rd, Jessup, MD 20794-9486 | 2016-06-29 |
| 1871999276 | Bergand Group | Psychiatry & Neurology | 1803 Harford Rd, Fallston, MD 21047 | 2014-11-12 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1164688677 | Jack Laurence Wapner | Psychiatry & Neurology | 11100 Liberty Rd, Suite F, Randallstown, MD 21133-1026 | 2008-08-04 |
| 1003018813 | Donald Harry Taylor | Psychiatry & Neurology | 4545 Crain Hwy, Substance Abuse Services, White Plains, MD 20695-1050 | 2007-06-04 |
| 1649317264 | Marc Judah Fishman | Psychiatry & Neurology | 3800 Frederick Avenue, Na, Baltimore, MD 21229-3618 | 2007-01-31 |
| 1831284769 | Syed Asif H Ali | Psychiatry & Neurology | 13102 Autumn Dr, Silver Spring, MD 20904-3307 | 2006-10-04 |
| 1861599490 | Rhonda Lynn Allen | Psychiatry & Neurology | 5401 Loch Raven Blvd Fl 2, Baltimore, MD 21239-2902 | 2006-09-17 |
| 1952404840 | Samathanam N Abraham | Psychiatry & Neurology | 13207 Valley Dr, Rockville, MD 20850-3626 | 2006-09-06 |
| 1619082005 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 14703 Avery Rd, Rockville, MD 20853-3605 | 2006-08-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.