SUNEETHA DESIRAJU (NPI# 1528301306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528301306 |
| Entity Type | Individual |
| Full Name | SUNEETHA DESIRAJU |
| Credential | M.D. |
| Practice Address |
4940 Eastern Ave Bldg Aa2 Baltimore MD 21224-2735 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4105504224 |
| Practice Fax Number | 4105501163 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D87407 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
4940 EASTERN AVE BLDG AA2 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831660067 | Katelyn Williams | Physician Assistant | 4940 Eastern Ave Bldg Aa2, Baltimore, MD 21224-2735 | 2018-12-16 |
| 1982005583 | Bethany Jeanne Weidman | Physician Assistant | 4940 Eastern Ave Bldg Aa2, Baltimore, MD 21224-2735 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013277441 | Christine Capriolo | Pediatrics | 22 S Greene St # N4wicu, Baltimore, MD 21201-1544 | 2012-05-18 |
| 1235315581 | Bruce Ryland Boynton | Pediatrics | 4209 Newgate Ave, Canton Pier 11, Baltimore, MD 21224-6416 | 2008-01-17 |
| 1962446328 | Akhil Maheshwari | Pediatrics | 1800 Orleans St # 8s852, Baltimore, MD 21287 | 2006-06-16 |
| 1679114581 | Susan M Kelly | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2019-10-01 |
| 1306308937 | Jennifer Elizabeth Bivens | Pediatrics | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2019-04-02 |
| 1073964441 | Rebecca Suflas | Pediatrics | 110 S Paca St Fl 8, Baltimore, MD 21201 | 2016-06-28 |
| 1962896282 | Cecilia Kwak | Pediatrics | 1800 Orleans St, The Johns Hopkins Hospital, Baltimore, MD 21287-0010 | 2015-03-25 |
| 1245640770 | Francesca Okolie | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-05-06 |
| 1073932661 | Deepika Chadive | Pediatrics | 2401 West Belvedere Ave, Baltimore, MD 21215-2121 | 2014-04-10 |
| 1215279484 | Michelle Marie Gontasz | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2013-03-26 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on SUNEETHA DESIRAJU.
| 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.