NORA ROSE SUDARSAN (NPI# 1275809246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275809246 |
Entity Type | Individual |
Full Name | NORA ROSE SUDARSAN |
Credential | D.O. |
Practice Address |
305 Hospital Dr Fl 2 Glen Burnie MD 21061-5805 |
Mailing Address |
1000 10th Ave St Luke's Roosevelt Hospital, Dept of Medicine 3a-02 New York NY 10019-1147 |
Practice Telephone | 4107619896 |
Practice Fax Number | 4107612250 |
Enumeration Date | 2012-03-23 |
Last Update Date | 2020-01-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
H0085147 | MD | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
129 Lubrano Dr Ste 201, Annapolis, MD 214017567 | 4105730090 | 4105730097 |
5450 Knoll North Dr Ste 140, Columbia, MD 210452366 | 4107401744 | 4107401743 |
Street Address |
305 HOSPITAL DR FL 2 |
City | GLEN BURNIE |
State | MD |
Zip Code | 21061-5805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
Find all providers in zip 21061 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871561662 | Min Chul Oh | Internal Medicine | 305 Hospital Dr, Tate Cancer Center, Glen Burnie, MD 21061-5805 | 2006-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558908749 | Daniel Da Motta Girardi | Internal Medicine | National Institutes of Health (nih) Campus, Bethesda, MD 20892-0001 | 2019-12-06 |
1255894879 | Rcca Md LLC | Internal Medicine | 9715 Medical Center Dr Ste 221, Rockville, MD 20850-6319 | 2019-04-10 |
1720573132 | Mid-atlantic Oncology Hematology, LLC | Internal Medicine | 12210 Plum Orchard Dr Ste 211, Silver Spring, MD 20904-7913 | 2018-06-27 |
1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
1205371135 | Giovanni Melillo | Internal Medicine | 2554 Bear Den Rd, Frederick, MD 21701-5230 | 2017-01-02 |
1598217473 | Jong-hoon Lee | Internal Medicine | 10905 Lamplighter Ln, Potomac, MD 20854-2782 | 2016-10-26 |
1467800367 | Rcca Md LLC | Internal Medicine | 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507 | 2016-06-01 |
1598179962 | Ronald Gress | Internal Medicine | 10 Crc3 3330, Nih, Bethesda, MD 20892-0001 | 2014-06-13 |
1861827586 | Timothy C Meeker | Internal Medicine | 11133 Post House Ct, Potomac, MD 20854-2535 | 2013-09-12 |
1750622361 | Johannes Blom | Internal Medicine | 4136 Cadle Creek Rd, Edgewater, MD 21037-4529 | 2013-03-06 |
Find all providers with the same taxonomy |
City | GLEN BURNIE |
Zip Code | 21061 |
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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.