SKANUMURU, LLC (NPI# 1952540635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952540635 |
| Entity Type | Organization |
| Organization Name | SKANUMURU, LLC |
| Practice Address |
1406 Crain Hwy S Suite 108 Glen Burnie MD 21061-4058 |
| Mailing Address |
5354 Ambrosia Dr Ellicott City MD 21043-6862 |
| Practice Telephone | 4107600098 |
| Practice Fax Number | 4107619131 |
| Mailing Telephone | 4103360124 |
| Mailing Fax Number | 4107446755 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | DR. SRILATHA KANUMURU (OWNER) |
| Authorized Official Telephone | 4107190020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
D0064539 | MD | Ambulatory Health Care Facilities |
| Street Address |
1406 CRAIN HWY S SUITE 108 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214255 | Alvin Serrano Madarang | Internal Medicine | 1406 Crain Hwy S, Suite 201, Glen Burnie, MD 21061-4058 | 2005-09-02 |
| 1013572163 | Amber Rae Gillian | Counselor | 1406 Crain Hwy S, Glen Burnie, MD 21061-4058 | 2019-05-03 |
| 1730601873 | Brandon F Williams | Social Worker | 1406 Crain Hwy S, Glen Burnie, MD 21061-4058 | 2017-07-11 |
| 1972048593 | Gretchen Ryle | Nurse Practitioner | 1406 Crain Hwy S, Ste 104, Glen Burnie, MD 21061-4058 | 2017-01-05 |
| 1366812331 | Atlas Physical Therapy & Associates, LLC | Clinic/Center | 1406 Crain Hwy S, Suite 110, Glen Burnie, MD 21061-4058 | 2015-10-02 |
| 1710221288 | Medstar Medical Group II LLC | Internal Medicine | 1406 Crain Hwy S, Suite 106, Glen Burnie, MD 21061-4058 | 2012-11-21 |
| 1366723801 | Katharine Paige Fulton | Counselor | 1406 Crain Hwy S, Glen Burnie, MD 21061-4058 | 2011-08-29 |
| 1801048293 | Asha G Potti | Internal Medicine | 1406 Crain Hwy S, Suite 108, Glen Burnie, MD 21061-4058 | 2008-10-16 |
| 1700032737 | Laura M Sanner | Physical Therapist | 1406 Crain Hwy S, Suite #110, Glen Burnie, MD 21061-4058 | 2008-08-11 |
| 1013184159 | Alice Tanner M.d.,pc | Pediatrics | 1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4058 | 2008-05-08 |
| Find all providers in the same location | ||||
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
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| 1720567373 | Pgi Holdings LLC | Clinic/Center | 515 E Joppa Rd Ste 104, Towson, MD 21286-1804 | 2018-08-13 |
| 1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
| 1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
| 1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
| 1558869032 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 300 Scholls Ln Ste B, Frederick, MD 21701-6380 | 2018-01-30 |
| 1659885457 | C.h.o.i.c.e.s. International | Clinic/Center | 9701 Apollo Dr Ste 304, Upper Marlboro, MD 20774-4790 | 2017-12-01 |
| 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.