Crystal Reports - jbPGphotorost_cnv.rpt

Transcription

MEDICAL STAFF AND AHP ROSTER
Prince George's Hospital Center
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Abbott, Robert M., MD
ID#:
130161
UPIN:
F44094
NPI:
1427094846
Community Radiology Associates
4110 Aspen Hill Road, Suite 200
Rockville, MD 20853Phone:
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Abdella, Mukemil F, MD
ID#:
124941
UPIN:
H94017
NPI:
1871603381
12200 Annapolis Road
Suite 229
Glenn Dale, MD 20769Phone:
(240) 245-4421
Fax:
(240) 245-4424
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Abdulkadir, Adegboyega A, MD
ID#:
127829
UPIN:
NPI:
1750554143
Pediatrix at PGHC
3001 Hospital Drive
Cheverly, MD 20785Phone:
(301) 618-3280
Fax:
(301) 618-2198
PEDIATRICS
NEONATOLOGY
ASSOCIATE
Abedin, Mehnur, MD
ID#:
117317
UPIN:
00 - ped
NPI:
1336199827
Pediatrix at PGHC
3001 Hospital Drive
(301) 618-3280
Fax:
(301) 618-2198
PEDIATRICS
NEONATOLOGY
ACTIVE
Abiodun, Azeez A, MD
ID#:
126433
UPIN:
I35715
NPI:
1831133909
8118 Good Luck Road
Hospitalist Office
Lanham, MD 20801Phone:
(301) 552-8699
Fax:
(301) 552-8892
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Abrishami, Mohammad, MD
ID#:
104240
UPIN:
D09422
NPI:
1932105103
8957 Edmonston Rd
Suite M
Greenbelt, MD 20770Phone:
(301) 441-2300
Fax:
(301) 345-5467
PEDIATRICS
Abu, Rasaq O, MD
ID#:
117465
UPIN:
F49954
NPI:
1578663019
4701 Melbourne Place
1st Floor
College Park, MD 20740Phone:
(301) 345-8225
Fax:
(301) 345-8244
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Adadevoh, Ernest K, MD
ID#:
121582
UPIN:
H05557
NPI:
1346334190
Dimensions OB/GYN Associates
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
Obstetrics & Gynecology
ACTIVE
August 22, 2012
Page 1 of 79
\\DHSMEDSTAFF\VISIONPRO\PG CRYSTAL REPORTS\JBPGPHOTOROST_CNV.RPT
ASSOCIATE
REFER & REVIEW
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Adams, Lan Le, MD
ID#:
130302
UPIN:
NPI:
1750405601
Perinatal Diagnostic Center
3001 Hospital Dr.
(301) 618-3542
Fax:
(301) 618-3373
OB/GYN
Maternal Fetal Medicine
TEMPORARY
Addala, Srinivas, MD
ID#:
126573
UPIN:
G37265
NPI:
1447241872
9135 Piscataway Drive
Suite 210
Clinton, MD 20735Phone:
(301) 868-1380
Fax:
(301) 868-4514
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Addo, Richard O, MD
ID#:
130419
UPIN:
H73341
NPI:
1639139413
Hospitalist Management Group @ LRH
Laurel Regional Hospital
7300 Van Dusen Rd #420
Laurel, MD 20707Phone:
(301) 362-2042
Fax:
(240) 568-2933
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Adegbulugbe, Henry, MD
ID#:
125583
UPIN:
H62568
NPI:
1629156955
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
ACTIVE
Adesina, Omolola O, MD
ID#:
129858
UPIN:
NPI:
1982906657
Hospitalist Management Group @ PGHC
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Adetunji, Ademuyiwa A., DPM
ID#:
120097
UPIN:
U71263
NPI:
1962596031
1450 Mercantile Lane
Suite 151
Largo, MD 20774Phone:
(301) 386-5453
Fax:
(301) 386-5396
SURGERY
PODIATRY
ASSOCIATE
Adewale, Benjamin A, MD
ID#:
125468
UPIN:
G43306
NPI:
1790702132
Riverside Mental Health
7011 Calamo St, Suite 105
Springfield, VA 22150Phone:
(703) 569-8028
Fax:
(703) 569-8085
PSYCHIATRY
Adeyemo, Monisola A, CRNP
ID#:
884791
UPIN:
G02798
NPI:
1881754349
1400 Mercantile Lane, #180
(301) 925-7022
Fax:
(301) 925-4463
FAMILY MEDICINE
August 22, 2012
Page 2 of 79
ASSOCIATE
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Afework, Eskinder, MD
ID#:
122960
UPIN:
G41677
NPI:
1912938408
University of Maryland ER @ PGHC
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC & BHC Emergency
TEMPORARY
Agrawal, Sharad, MD
ID#:
123778
UPIN:
H46236
NPI:
1922036243
DHA Anesthesia @ PGHC
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Agyapong, Henry A, PA-C
ID#:
884387
UPIN:
NPI:
1669615464
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
ALLIED HEALTH
Aharonian, Artin, MD
ID#:
124727
UPIN:
H22087
NPI:
1992740187
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Ahmad, Laeeq, MD
ID#:
107763
UPIN:
C62030
NPI:
1063452282
7335 Hanover Pkwy, #B
Surgical Associates, Chartered
(301) 345-8400
Fax:
(301) 345-3903
SURGERY
THORACIC
ACTIVE
Ahmed, Tahmina K, MD
ID#:
124909
UPIN:
H95632
NPI:
1093886798
831 University Blvd., East
Suite 27
Silver Spring, MD 20903Phone:
(301) 445-9595
Fax:
(301) 445-4499
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Ahn, Sungkee S, MD
ID#:
125294
UPIN:
C75562
NPI:
1346211877
Image On Call LLC
695 Dutchess Turnpike
Poughkeepsie, NY 12603Phone:
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
Ahuja, Kanwaljit S, MD
ID#:
123331
UPIN:
H52308
NPI:
1366446619
3231 Superior Lane
Suite A8
Bowie, MD 20715Phone:
(301) 352-6126
Fax:
(301) 352-6127
INTERNAL MEDICINE
NEUROLOGY
ACTIVE
August 22, 2012
Page 3 of 79
ASSOCIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Ahuja, Samir K, MD
ID#:
127951
UPIN:
G92169
NPI:
1679778658
6000 Executive Blvd, #300
(301) 468-8999
Fax:
(301) 468-9235
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Ajayi, Adebowale I, MD
ID#:
116582
UPIN:
F82280
NPI:
1104877984
6201 Greenbelt Rd
Suite M-18
(301) 313-9013
Fax:
(301) 313-9015
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Ajrawat, Harbhajan, MD
ID#:
108639
UPIN:
B93506
NPI:
1205883881
7500 Hanover Parkway
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
ACTIVE
Ajrawat, Paramjit Singh, MD
ID#:
111427
UPIN:
B94397
NPI:
1295809358
7327 A Hanover Parkway
Washington Pain Medicine Center
(301) 220-0068
Fax:
(301) 474-3282
ANESTHESIA
ALGOLOGY
REFER & REVIEW
Akintade, Ajoke Ajayi, MD
ID#:
113704
UPIN:
G10981
NPI:
1568400125
Mt. Washington Pediatrics @ PGHC
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
Mt. Washington Staff
ASSOCIATE
Akpan, Margaret, MD
ID#:
112342
UPIN:
B68076
NPI:
1669458931
6128 Landover Road
(301) 772-1112
Fax:
(301) 386-9333
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ACTIVE
Akras, James A, MD
ID#:
187484
UPIN:
G43230
NPI:
1821153404
Trauma Office
3001 Hospital Drive
(301) 618-6155
Fax:
(301) 618-6109
SURGERY
TRAUMATOLOGY
ACTIVE
Akyea-Djamson, Ayim, MD
ID#:
122408
UPIN:
H23696
NPI:
1154408227
10756 Rhode Island Avenue
Beltsville, MD 20705Phone:
(301) 595-0356
Fax:
(301) 595-0359
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
August 22, 2012
Page 4 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Alemayehu, Shimellis, MD
ID#:
122713
UPIN:
F88856
NPI:
1790883288
9801 Greenbelt Road
Suite 101
(301) 552-0008
Fax:
(301) 552-6216
INTERNAL MEDICINE
NEUROLOGY
ACTIVE
Alex, Polachirackal, MD
ID#:
113241
UPIN:
F44891
NPI:
1396779476
7231 A Hanover Pkwy
Suite A
(301) 982-7898
Fax:
(301) 982-2588
PEDIATRICS
Alexander, Daniel R., MD
ID#:
126417
UPIN:
G71212
NPI:
1366474512
12150 Annapolis Rd.
Suite 200
(301) 464-3682
Fax:
(301) 464-3684
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Alexander, Kevin, MD
ID#:
113514
UPIN:
B93630
NPI:
1619087459
3321 Toledo Terrace
Suite 102
Hyattsville, MD 20782Phone:
(301) 559-2400
Fax:
(301) 559-2403
OB/GYN
ASSOCIATE
Ali, Babar, MD
ID#:
129940
UPIN:
NPI:
1952505877
11119 Rockville Pike
Suite 100
(301) 816-9000
Fax:
(301) 816-8616
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Allen, Norman W, MD
ID#:
123398
UPIN:
G57201
NPI:
1033100581
1647 Benning Road, NE
Ste. 201
Washington, DC 20007Phone:
(202) 399-5707
Fax:
(202) 399-5708
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Alleyne, Samuel, MD
ID#:
108951
UPIN:
C61749
NPI:
1891859237
P. O. BOX 1517
Hyattsville, MD 20785-0517
Phone:
(301) 386-2899
Fax:
(301) 386-2902
FAMILY MEDICINE
Alshalabi, Mohannad M, MD
ID#:
129726
UPIN:
NPI:
1740474311
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
ASSOCIATE
August 22, 2012
Page 5 of 79
ACTIVE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Alter, Katharine E, MD
ID#:
125112
UPIN:
E29964
NPI:
1245326818
3001 Hospital Drive
(301) 618-3097
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
Amazu, Chinyere R, MD
ID#:
120790
UPIN:
G26313
NPI:
1588747422
6105 Box Oak Court
(301) 429-5866
Fax:
(301) 429-8818
PEDIATRICS
Amini, Aminullah, MD
ID#:
128769
UPIN:
NPI:
1922286517
1400 Forest Glen Rd, #225
(301) 754-7571
Fax:
(301) 754-3171
SURGERY
NEUROSURGERY
ASSOCIATE
Amjadi, Amir A, MD
ID#:
124883
UPIN:
H95605
NPI:
1902819196
10802 Hickory Ridge Road
Columbia, MD 21044Phone:
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
ASSOCIATE
Anadu, Juliet I, MD
ID#:
127886
UPIN:
NPI:
1750358370
7500 Hanover Parkway, Unit 202
(301) 345-4141
Fax:
(301) 345-0507
PEDIATRICS
Anand, Sajeev, MD
ID#:
113100
UPIN:
E63752
NPI:
1194816017
7343 A & B Hanover Pkwy
(301) 345-7030
Fax:
(301) 345-9589
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ASSOCIATE
Anand, Sarabjit S, MD
ID#:
115782
UPIN:
F97727
NPI:
1013915651
14201 Laurel Park Drive
Suite 110
(301) 776-4994
Fax:
(301) 490-8630
SURGERY
GENERAL SURGERY
ASSOCIATE
Anders, Alec M, MD
ID#:
118075
UPIN:
G56632
NPI:
1659339539
BHC Emergency Department
15001 Health Center Drive
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
August 22, 2012
Page 6 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Andersen, Romney C., MD
ID#:
130005
UPIN:
NPI:
1629173653
22 S. Greene Street
Baltimore, MD 21201Phone:
(410) 328-1868
Fax:
(410) 328-2893
ORTHOPEDICS
Anderson, Gail J, MD
ID#:
123687
UPIN:
C30222
NPI:
1134160260
4000 Mitchellville Road
Suite A414
(301) 860-0985
Fax:
(301) 860-0978
SURGERY
ENT
ASSOCIATE
Andrews, Newton E, MD
ID#:
128066
UPIN:
I03901
NPI:
1245399369
1160 Varnum St NE
Suite 100
(202) 832-1800
Fax:
(202) 832-2071
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Antani, Meghal R, MD
ID#:
127589
UPIN:
H36433
NPI:
1215927900
Premier Radiology @PGHC
3001 Hospital Drive
Medical Imaging Dept
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Arapian, Jennifer E, PA-C
ID#:
884205
UPIN:
NPI:
1780911362
PGHC Physician Assistants
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
(Hospital AHP Group)
PGHC Surgery / Genl & Trauma
ALLIED HEALTH
Arifuddowla, Abul, MD
ID#:
129759
UPIN:
NPI:
1851559611
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Arnold, Charles J., MD
ID#:
122135
UPIN:
D77832
NPI:
1205863180
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Aronson, Daniel, MD
ID#:
121848
UPIN:
E56396
NPI:
1720024169
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
August 22, 2012
Page 7 of 79
ASSOCIATE
ASSOCIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Arora, Rakesh, MD
ID#:
101337
UPIN:
C62324
NPI:
1013085505
14300 Gallant Fox Lane
Suite 222
(301) 262-7800
Fax:
(301) 805-0782
FAMILY MEDICINE
Arwindekar, Dilip S, MD
ID#:
124628
UPIN:
B12553
NPI:
1740220110
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Ashai, Khalid H, MD
ID#:
124925
UPIN:
G21621
NPI:
1912986035
7525 Greenway Center Dr
Suite 313
(301) 345-4100
Fax:
(301) 345-1375
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Ashman, Fred, MD
ID#:
122309
UPIN:
E35166
NPI:
1700822145
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Ashruf, Salman S, MD
ID#:
127076
UPIN:
I07800
NPI:
1164451027
1600 S. Crain Highway
Suite 509, Crain Towers
Glen Burnie, MD 21061Phone:
(410) 590-4313
Fax:
(410) 590-4314
SURGERY
PLASTIC
ASSOCIATE
Asresahegn, Meskerem, MD
ID#:
125682
UPIN:
G85612
NPI:
1588724009
Prince George's County Correction Center
13400 Dille Drive
Upper Marlboro, MD 20772Phone:
(301) 952-7145
Fax:
(301) 952-7144
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Assili, Davoud, MD
ID#:
106401
UPIN:
C88285
NPI:
1811936271
9470 Annapolis Rd.
Suite 402
(301) 459-7700
Fax:
(301) 459-7536
OB/GYN
Gynecology Only
SENIOR MERITORIOUS
Atwell, Darryl M, MD
ID#:
126326
UPIN:
G79362
NPI:
1598706376
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
August 22, 2012
Page 8 of 79
SENIOR MERITORIOUS
ASSOCIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Aujla, Parmjit S, MD
ID#:
114330
UPIN:
F10510
NPI:
1457460610
5632 Annapolis Road
Suite 13
Bladensburg, MD 20710Phone:
(301) 699-8333
Fax:
(301) 699-9344
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Ayeni, Akinlawon O, MD
ID#:
127050
UPIN:
G02798
NPI:
1821167149
1400 Mercantile Lane #180
(301) 925-7022
Fax:
(301) 925-4463
FAMILY MEDICINE
Aziz, Salim, MD
ID#:
125179
UPIN:
G01066
NPI:
1376618454
2440 M Street, NW #205
(202) 775-5111
Fax:
(202) 204-5257
SURGERY
THORACIC
ASSOCIATE
Badii, Roozbeh, MD
ID#:
130088
UPIN:
NPI:
1205023512
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Bahl, Vivek, MD
ID#:
124834
UPIN:
I69129
NPI:
1154389138
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Bahmanyar, Bijan, MD
ID#:
111518
UPIN:
B93725
NPI:
1013900992
7311 Hanover Pkwy #B
(301) 345-6222
Fax:
(301) 345-4130
SURGERY
GENERAL SURGERY
ACTIVE
Bahrami, Siamack, MD
ID#:
103168
UPIN:
D84579
NPI:
1134144082
8957 K Edmonston Rd
(301) 982-9333
Fax:
(301) 441-3672
OB/GYN
Gynecology Only
SENIOR MERITORIOUS
Bailey, Lorena H., MD
ID#:
121095
UPIN:
H72380
NPI:
1801982319
3001 Hospital Drive
(301) 618-3096
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
August 22, 2012
Page 9 of 79
REFER & REVIEW
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Balaji, Nicholas R., MD
ID#:
130013
UPIN:
NPI:
1070809571
9135 Piscataway Drive
Suite 210
(301) 868-1380
Fax:
(301) 868-4514
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Bangoura, Jill, CRNA
ID#:
889444
UPIN:
S54850
NPI:
1629053210
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Bangura, Memunatu, MD
ID#:
121533
UPIN:
H04173
NPI:
1760409528
Psychiatry Dept
3001 Hospital Drive
(301) 618-3162
Fax:
(301) 618-3988
PSYCHIATRY
Banks, Benita F., MD
ID#:
119784
UPIN:
G71737
NPI:
1801867593
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Banks, Nia D, MD
ID#:
128298
UPIN:
NPI:
1255478533
8116 Good Luck Road
Suite 215
(301) 880-7022
Fax:
(301) 880-0524
SURGERY
PLASTIC
ASSOCIATE
Barrs, Marni M, CNM
ID#:
884015
UPIN:
Q31796
NPI:
1184651713
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
AFFILIATE
Bavani, Shahab Z, MD
ID#:
128462
UPIN:
I64744
NPI:
1326061672
10611 Gramercy Place
Unit 3
Columbia, MD 21044-3079
Phone:
(410) 740-2562
Fax:
(410) 884-4991
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Becker, Jeffrey A, MD
ID#:
128082
UPIN:
NPI:
1902900418
Children's National Medical Center
111 Michigan Avenue, N.W. W3-200
Washington, DC 20010-2970
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
August 22, 2012
Page 10 of 79
ALLIED HEALTH
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Bedeau, John, MD
ID#:
110577
UPIN:
C61939
NPI:
1487646154
Suite 217
(301) 583-7770
Fax:
(301) 583-9414
INTERNAL MEDICINE
GI
ACTIVE
Beder, Stanley D, MD
ID#:
116772
UPIN:
A80801
NPI:
1578654349
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Bender, Gregory, MD
ID#:
124677
UPIN:
H07108
NPI:
1134157316
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Berhane, Tsion, MD
ID#:
121608
UPIN:
H36361
NPI:
1255336962
4404 Queensbury Rd
Riverdale, MD 20737Phone:
(410) 787-4300
Fax:
(240) 241-5152
CRITICAL CARE
Beygo, Cem, PA-C
ID#:
889964
UPIN:
P28882
NPI:
1942294384
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Orthopedics
ALLIED HEALTH
Beyna, Barbara W, CRNP
ID#:
886796
UPIN:
S76521
NPI:
1962433367
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Bhojraj, Rajkumar, MD
ID#:
111302
UPIN:
C88820
NPI:
1275575649
5632 Annapolis Road
Suite 10
(301) 927-7488
Fax:
(301) 864-2078
FAMILY MEDICINE
Bishop, Sandra M, PA-C
ID#:
885319
UPIN:
00
NPI:
1740324144
3001 Hospital Drive
(301) 618-6180
Fax:
(301) 618-2865
INTERNAL MEDICINE
PULMONARY
ALLIED HEALTH
August 22, 2012
Page 11 of 79
ASSOCIATE
ASSOCIATE
SENIOR MERITORIOUS
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Biswas, Kunda S, MD
ID#:
129635
UPIN:
I63735
NPI:
1902992985
10215 Fernwood Rd.
Suite 303
Bethesda, MD 20817Phone:
(301) 270-2844
Fax:
(301) 270-4484
SURGERY
THORACIC
ASSOCIATE
Blair, Willie, MD
ID#:
107987
UPIN:
D05911
NPI:
1548242472
7525 Greenway Center Drive
Suite 211
(301) 345-0300
Fax:
(301) 345-7949
SURGERY
GENERAL SURGERY
ACTIVE
Blundon, Montague, MD
ID#:
121491
UPIN:
B93287
NPI:
1750341343
5640 Shields Drive
(301) 897-5505
Fax:
(301) 897-0887
ORTHOPEDICS
Boggio, Danielle R, CRNA
ID#:
885715
UPIN:
R95489
NPI:
1194721712
PGHC Anesthesia Department
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Bone, George, MD
ID#:
111161
UPIN:
C89226
NPI:
1528028297
Suite 135
(301) 773-9700
Fax:
(301) 773-4900
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Boneval, Haluk, MD
ID#:
103762
UPIN:
B94654
NPI:
1720095888
6005 Landover Road
Suite 3
(301) 322-4041
Fax:
(301) 773-3188
SURGERY
GENERAL SURGERY
SENIOR MERITORIOUS
Botwe, Theophilus, MD
ID#:
128389
UPIN:
NPI:
1912032996
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Boulton, Christina L, MD
ID#:
129932
UPIN:
NPI:
1366563785
Trauma Office
3001 Hospital Drive
(301) 618-2160
Fax:
(301) 618-3364
ORTHOPEDICS
August 22, 2012
Page 12 of 79
ACTIVE
ALLIED HEALTH
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Bovelle, Renee C, MD
ID#:
126938
UPIN:
G30564
NPI:
1588732424
12200 Annapolis Rd
Suite 116
(301) 805-4664
Fax:
(301) 805-4663
SURGERY
OPHTHALMOLOG
ASSOCIATE
Boyce, William J, MD
ID#:
115378
UPIN:
F48836
NPI:
1275523342
PGHC Critical Care Department
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
CRITICAL CARE
Braswell, B. Toloria, MD
ID#:
113852
UPIN:
B21472
NPI:
1992716112
5111 Silver Hill Road
Suitland, MD 20746
Phone:
(301) 568-3333
Fax:
(301) 568-2100
FAMILY MEDICINE
Briere, Rebecca L, PA-C
ID#:
884825
UPIN:
00
NPI:
1659413797
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Brooks, Karen R., MD
ID#:
119875
UPIN:
F76386
NPI:
1346230414
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
CRITICAL CARE
Broth, Richard E, MD
ID#:
129049
UPIN:
NPI:
1508854555
Perinatal Diagnostics
3001 Hospital Drive
(301) 618-3542
Fax:
(301) 618-3373
OB/GYN
ASSOCIATE
Brothers, James M, CRNP
ID#:
884858
UPIN:
Q48151
NPI:
1487704862
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
ALLIED HEALTH
Brown, Kenneth B., MD
ID#:
130153
UPIN:
E20316
NPI:
1164521084
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
August 22, 2012
Page 13 of 79
ACTIVE
REFER & REVIEW
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Brown, Sonia, CRNP
ID#:
885269
UPIN:
00
NPI:
1376683789
Cardiology Department
3001 Hospital Drive
(301) 618-6317
Fax:
(301) 618-6298
INTERNAL MEDICINE
CARDIOLOGY
ALLIED HEALTH
Brunner, Douglas R, MD
ID#:
121939
UPIN:
C57624
NPI:
1255361762
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Brutus, Sargine, MD
ID#:
128686
UPIN:
NPI:
1417999285
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Bryant, Larry, DDS
ID#:
114660
UPIN:
U34665
NPI:
1902960958
Suite 236
(301) 249-0553
Fax:
(301) 249-0555
SURGERY
ORAL
ACTIVE
Bubser, John, DPM
ID#:
115691
UPIN:
U51222
NPI:
1184763583
8700 Central Ave
Suite 105
Landover, MD 20785Phone:
(301) 499-3338
Fax:
(301) 499-1266
SURGERY
PODIATRY
ASSOCIATE
Bufkin, James R, PA-C
ID#:
884528
UPIN:
NPI:
1659521532
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Critical Care Medicine
ALLIED HEALTH
Bunch, Audrey L, PA-C
ID#:
884502
UPIN:
NPI:
1245480318
3001 Hospital Drive
(301) 257-4083
Fax:
(301) 618-2865
PGHC Surgery Subspecialty
ALLIED HEALTH
Burbano, Jesus A, MD
ID#:
126078
UPIN:
00
NPI:
1710965710
8615 Ramsey Avenue
(301) 585-1230
Fax:
(301) 585-2446
PEDIATRICS
August 22, 2012
Page 14 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Cacciabeve, Nicolas, MD
ID#:
126482
UPIN:
E90323
NPI:
1174629687
Adventist Pathology Associates
9901 Medical Center Drive
(240) 826-6096
Fax:
(240) 826-5209
PATHOLOGY
Cadogan, Robert F A, MD
ID#:
130542
UPIN:
H72601
NPI:
1598767691
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Callwood, Kim M, MD
ID#:
120113
UPIN:
F18130
NPI:
1275505356
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Campbell, Craig A, MD
ID#:
130179
UPIN:
NPI:
1962732214
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Carter, Scott A, MD
ID#:
127746
UPIN:
I49826
NPI:
1316953771
7300 Van Dusen Rd
Emergency Department
(301) 497-7954
Fax:
(301) 497-8741
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Catevenis, James, MD
ID#:
113191
UPIN:
B93093
NPI:
1699852947
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
CRITICAL CARE
Cathion, Twyla, CRNP
ID#:
885640
UPIN:
P70576
NPI:
1760407662
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
PG & Mt. Washington Staff
ALLIED HEALTH
Chalabi, Izzat H., MD
ID#:
123455
UPIN:
H47843
NPI:
1184657157
8116 Good Luck Road
Suite 300
(240) 241-7474
Fax:
(301) 731-5733
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
August 22, 2012
Page 15 of 79
REFER & REVIEW
ASSOCIATE
ASSOCIATE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Chandar, V. Prem, MD
ID#:
103002
UPIN:
B94885
NPI:
1760483663
6001 Landover Road
(301) 773-1111
Fax:
(301) 773-7869
INTERNAL MEDICINE
GI
ACTIVE
Changchien, Chuntung, MD
ID#:
104851
UPIN:
B92991
NPI:
1972686368
8357 Cherry Lane
(301) 725-4700
Fax:
(301) 604-2828
PEDIATRICS
Charles, Vijayan, MD
ID#:
105254
UPIN:
B94159
NPI:
1881740587
7237B Hanover Parkway
(301) 982-4892
Fax:
(301) 982-5813
SURGERY
GENERAL SURGERY
SENIOR MERITORIOUS
Chatrathi, Sridhar, MD
ID#:
117937
UPIN:
F92829
NPI:
1447239561
7500 Hanover Pkwy
Suite 104
(301) 220-2220
Fax:
(301) 220-2224
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Chaudry, Abdul, MD
ID#:
108159
UPIN:
C62435
NPI:
1356435002
6005 Landover Road
Suite 5
(301) 322-2127
Fax:
(301) 322-9770
OB/GYN
SENIOR MERITORIOUS
Chawla, Raj Kumar, MD
ID#:
120378
UPIN:
G95892
NPI:
1750357026
Suite 205
(301) 809-6494
Fax:
(301) 809-6497
INTERNAL MEDICINE
INFECTIOUS DISEASE
ASSOCIATE
Chehreh, M Nick, MD
ID#:
102418
UPIN:
D09283
NPI:
1861498925
3327 Superior Lane
Suite 205
(301) 262-4555
Fax:
(301) 262-8921
PEDIATRICS
Chenchugalla, Manohar K, MD
ID#:
129791
UPIN:
NPI:
1154571321
7411 Riggs Road, #304
Adelphi, MD 20783Phone:
(301) 445-1452
Fax:
(301) 560-0841
FAMILY MEDICINE
August 22, 2012
Page 16 of 79
SENIOR MERITORIOUS
REFER & REVIEW
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Cherukuri, Ravikiran A, MD
ID#:
130690
UPIN:
NPI:
1396967733
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Chesley, James, MD
ID#:
110064
UPIN:
B92764
NPI:
1821006024
6134 Landover Road
Cheverly, MD 20785
Phone:
(301) 341-1593
Fax:
(301) 341-1887
INTERNAL MEDICINE
GI
ACTIVE
Chhabra, Gurdeep S, MD
ID#:
117002
UPIN:
G29033
NPI:
1336173277
1400 Forest Glen Rd
Suite 435
(301) 593-9035
Fax:
(301) 593-9036
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ACTIVE
Chimakurthi, Roja, MD
ID#:
129429
UPIN:
NPI:
1679730162
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Chowdhury, Imran H, MD
ID#:
115550
UPIN:
E73945
NPI:
1396747549
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
ACTIVE
Clark, Jr., David, MD
ID#:
129650
UPIN:
C87424
NPI:
1154385086
University of Maryland ER @LRH
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
ASSOCIATE
Clarke, Leeroy M, MD
ID#:
122796
UPIN:
H38257
NPI:
1396786133
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Clauss, Sarah B, MD
ID#:
125419
UPIN:
H72868
NPI:
1700977493
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
August 22, 2012
Page 17 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Closson, Carey-Walter, MD
ID#:
127308
UPIN:
H86866
NPI:
1336230416
16900 Science Drive, Suite 100
(301) 464-7008
Fax:
(301) 464-7011
ANESTHESIA
ALGOLOGY
REFER & REVIEW
Cohen, Alan A, MD
ID#:
124735
UPIN:
D09616
NPI:
1780626580
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Cohen, Richard, DPM
ID#:
109140
UPIN:
T31074
NPI:
1376549345
Suite 112
(301) 345-4087
Fax:
(301) 345-0482
SURGERY
PODIATRY
ASSOCIATE
Cole, Brandon J., MD
ID#:
128371
UPIN:
NPI:
1154512499
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
ASSOCIATE
Colon, Maria, MD
ID#:
129643
UPIN:
G42139
NPI:
1518167642
Pediatrix Medical Group of Mid-Atlantic
15005 Shady Grove Road, 120
(301) 251-8611
Fax:
(301) 251-8779
OB/GYN
ASSOCIATE
Cooper, Carnell, MD
ID#:
124875
UPIN:
E66233
NPI:
1447287446
Trauma Office
3001 Hospital Drive
(301) 618-2160
Fax:
(301) 618-3364
SURGERY
TRAUMATOLOGY
ACTIVE
Cordaro, Anthony, DPM
ID#:
113423
UPIN:
T30953
NPI:
1700932480
3311 Toledo Terrace
Suite C101
(301) 559-3511
Fax:
(301) 627-7536
SURGERY
PODIATRY
ACTIVE
Corder, Frederick, MD
ID#:
108803
UPIN:
00 - ped
NPI:
1427196740
Corder Children's Medical Center
3715 Rhode Island Ave.
Brentwood, MD 20722-1435
Phone:
(301) 341-9783
Fax:
(301) 805-8563
PEDIATRICS
August 22, 2012
Page 18 of 79
ASSOCIATE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Cross, Patrick A, MD
ID#:
126177
UPIN:
F27578
NPI:
1083620843
1400 Forest Glen Rd
Suite 435
(301) 593-9035
Fax:
(301) 593-9036
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ASSOCIATE
Cross, Russell R, MD
ID#:
125401
UPIN:
H19802
NPI:
1811088529
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Crotzer, Vannesa V, PA-C
ID#:
887448
UPIN:
S22148
NPI:
1366424632
Suites A & B
(301) 982-0657
Fax:
(301) 982-5325
OB/GYN
Crowe, Joseph, MD
ID#:
109264
UPIN:
C61775
NPI:
1912992371
9135 Piscataway Road
Suite 300
(301) 599-9500
Fax:
(301) 599-5389
ORTHOPEDICS
Cui, Wei, MD
ID#:
128496
UPIN:
NPI:
1184818635
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Cumberbatch, Ophnell, MD
ID#:
109363
UPIN:
B94884
NPI:
1245392380
8416 Central Avenue
Landover, MD 20785-4815
Phone:
(301) 336-3355
Fax:
(301) 336-3533
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Cummings, Candra, MD
ID#:
126771
UPIN:
G60972
NPI:
1164466330
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Cummings, Susan D, MD
ID#:
120618
UPIN:
G61737
NPI:
1811081391
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
August 22, 2012
Page 19 of 79
ALLIED HEALTH
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Cunningham, Paul S, MD
ID#:
126094
UPIN:
F63036
NPI:
1093881344
Suite 150
(301) 868-8300
Fax:
(301) 868-7250
SURGERY
OPHTHALMOLOG
ASSOCIATE
Cunningham, Thelma, CRNA
ID#:
889923
UPIN:
S90257
NPI:
1164458279
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Czarnecki, Fabrice, MD
ID#:
128900
UPIN:
I25209
NPI:
1497758056
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Dabela, Abraham, MD
ID#:
109710
UPIN:
B93391
NPI:
1518972306
4404 Queensbury Road
Suite 100
(301) 779-1949
Fax:
(301) 699-1703
INTERNAL MEDICINE
NEPHROLOGY
SENIOR MERITORIOUS
Daee, Said, MD
ID#:
107391
UPIN:
B93191
NPI:
1790785814
7525 Greenway Center Dr.
Suite 309
(301) 220-0099
Fax:
(301) 220-0308
SURGERY
GENERAL SURGERY
ACTIVE
Dakak, Nader A., MD
ID#:
120519
UPIN:
F99666
NPI:
1457332652
12150 Annapolis Rd.
Suite 105
(301) 805-1250
Fax:
(301) 805-0795
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Danila, Dan M., MD
ID#:
130427
UPIN:
NPI:
1700096914
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Das, Manash K, MD
ID#:
128595
UPIN:
NPI:
1942467071
Glenridge Medical Outpatient Clinic
7582 Annapolis Rd.
Landover Hills, MD 20784Phone:
(301) 322-2326
Fax:
(301) 429-1949
INTERNAL MEDICINE
GERIATRICS
ASSOCIATE
August 22, 2012
Page 20 of 79
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Das, Mukul, MD
ID#:
122655
UPIN:
G24185
NPI:
1215965165
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Dashottar, Ajay, MD
ID#:
107771
UPIN:
B94626
NPI:
1326059015
7207 Hanover Pkwy
Suite A
Greenbelt, MD 20770
Phone:
(301) 220-0096
Fax:
(301) 982-9388
INTERNAL MEDICINE
ENDOCRINOLOGY
SENIOR MERITORIOUS
Dashti, Azar, MD
ID#:
110494
UPIN:
H46132
NPI:
1770689416
4379 Northview Drive
(301) 262-2627
Fax:
(301) 262-8411
PEDIATRICS
Davidson, Sr., Alphonzo, DDS
ID#:
103663
UPIN:
C03825
NPI:
1700943883
932 Largo Center Drive
(301) 322-8900
Fax:
(301) 322-2840
SURGERY
ORAL
ASSOCIATE
Dawson, Ieon L, MD
ID#:
120915
UPIN:
G26606
NPI:
1790776961
7700 Old Branch Avenue
Suite B-205
(301) 877-4933
Fax:
(301) 877-6963
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Dawson, Konrad L, MD
ID#:
119669
UPIN:
E13467
NPI:
1164580619
106 Irving St., NW
Suite 2400 N
(202) 726-1000
Fax:
(202) 726-1601
SURGERY
PLASTIC
ACTIVE
Degefu, Hirut F, MD
ID#:
127266
UPIN:
H94451
NPI:
1518052034
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
Delapenha, Robert A, MD
ID#:
120477
UPIN:
F21257
NPI:
1942351291
1160 Varnum St NE
Suite 016
(202) 526-8622
Fax:
(202) 526-5035
INTERNAL MEDICINE
INFECTIOUS DISEASE
ASSOCIATE
August 22, 2012
Page 21 of 79
ASSOCIATE
SENIOR MERITORIOUS
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
DeMare', M. Bonnie, PA-C
ID#:
889899
UPIN:
P31062
NPI:
1790810851
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Demmeke, Tsega, MD
ID#:
119222
UPIN:
pediatrics
NPI:
1861693111
6201 Greenbelt Rd.
Suite L1
(301) 345-1900
Fax:
(301) 345-7149
PEDIATRICS
PG & Mt. Washington Staff
REFER & REVIEW
Dent, Connie F, PA-C
ID#:
884809
UPIN:
S52265
NPI:
1104973965
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
ALLIED HEALTH
Devine, Patrick J, MD
ID#:
127431
UPIN:
NPI:
1871686469
8901 Wisconsin Ave
Walter Reed Med Ctr
(301) 319-3480
Fax:
(301) 295-6616
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Dills, Mark, PA-C
ID#:
889873
UPIN:
P00828
NPI:
1992882252
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Din, Ghulam M., MD
ID#:
107367
UPIN:
G03336
NPI:
1821142514
6510 Kenilworth Ave
Suite 2600
(301) 277-6565
Fax:
(301) 699-3956
INTERNAL MEDICINE
GI
SENIOR MERITORIOUS
Domanski, Michael, MD
ID#:
111872
UPIN:
D65058
NPI:
1780655522
Suite 313
(301) 345-4100
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Donofrio, Mary T, MD
ID#:
128223
UPIN:
G16780
NPI:
1386704633
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
August 22, 2012
Page 22 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Dorin, David, MD
ID#:
110825
UPIN:
C62027
NPI:
1447245808
Suite 300
(301) 599-9500
Fax:
(301) 599-5389
ORTHOPEDICS
Doroshow, Robin W, MD
ID#:
125898
UPIN:
A47448
NPI:
1043304538
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Doski, Mahmoud H, MD
ID#:
125013
UPIN:
H96824
NPI:
1710925748
1299 Lamberton Dr.
(301) 649-6100
Fax:
(301) 649-1920
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Duckett, Luat, MD
ID#:
112730
UPIN:
E23076
NPI:
1669474706
7239-B Hanover Pkwy.
Greenbelt, MD 20770
Phone:
(301) 513-9030
Fax:
(301) 513-9344
SURGERY
GENERAL SURGERY
ASSOCIATE
Duggal, Promod, MD
ID#:
113274
UPIN:
B69352
NPI:
1992708044
#930
(301) 345-2412
Fax:
(301) 345-3978
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Dunmore, Gwendolyn, MD
ID#:
114546
UPIN:
E69438
NPI:
1962508978
3321 Toledo Terrace
Suite D102
(301) 559-2400
Fax:
(301) 559-2403
OB/GYN
ASSOCIATE
Durning, Pamela, MD
ID#:
126300
UPIN:
I44070
NPI:
1013953702
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Eben, Patricia A, MD
ID#:
125260
UPIN:
I20075
NPI:
1700966496
9470 Annapolis Road
Suite 306
(301) 459-1691
Fax:
(301) 577-2473
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
August 22, 2012
Page 23 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Edwards, Allison R, MD
ID#:
117093
UPIN:
C62826
NPI:
1194821470
Suite 226
(301) 262-8900
Fax:
(301) 262-0915
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Ego-Osuala, George C, MD
ID#:
116509
UPIN:
G12335
NPI:
1679578835
Edge Medical Care PC
9311 Annapolis Rd
(301) 277-7141
Fax:
(301) 459-2888
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Egwim, Onyekachi W, MD
ID#:
129742
UPIN:
NPI:
1588817498
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Ehiabor, Timothy O., MD
ID#:
130252
UPIN:
NPI:
1720246622
14201 Laurel Park Drive
Suite 102A
(301) 490-6341
Fax:
(301) 490-6343
FAMILY MEDICINE
Emanuel, Eric R., MD
ID#:
121061
UPIN:
G93680
NPI:
1609868983
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
ASSOCIATE
Epstein, Barry, MD
ID#:
101899
UPIN:
C61600
NPI:
1780682419
6201 Greenbelt Rd
Suite U16
(301) 474-6996
Fax:
(301) 474-3501
INTERNAL MEDICINE
GI
SENIOR MERITORIOUS
Erfan, Bahram, MD
ID#:
102525
UPIN:
B93909
NPI:
1679557433
6510 Kenilworth Ave
Suite 2500
(301) 927-6111
Fax:
(301) 927-1468
SURGERY
THORACIC
SENIOR MERITORIOUS
Escalera, Maria, MD
ID#:
110486
UPIN:
B93546
NPI:
1609818723
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
August 22, 2012
Page 24 of 79
ASSOCIATE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Escobar, Brenda D., PA-C
ID#:
883747
UPIN:
NPI:
1518274323
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Evanson, Sandy H., PA-C
ID#:
883735
UPIN:
NPI:
1922267947
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Fadul, Jamal, MD
ID#:
121053
UPIN:
H08180
NPI:
1427080589
6201 Greenbelt Rd.
Suite M16
(301) 441-4400
Fax:
(301) 441-3008
FAMILY MEDICINE
Falik, Joel, MD
ID#:
100677
UPIN:
C62660
NPI:
1902809882
7257 B Hanover Parkway
(301) 982-7100
Fax:
(301) 474-2218
SURGERY
NEUROSURGERY
SENIOR MERITORIOUS
Farahi-far, Rointan, MD
ID#:
114967
UPIN:
F62961
NPI:
1912943531
12150 Annapolis Rd.
Suite 312
(301) 262-7979
Fax:
(301) 262-7790
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Farhat, Hassan Y, MD
ID#:
129510
UPIN:
F32497
NPI:
1922016351
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
ASSOCIATE
Farid, Parkham, MD
ID#:
127035
UPIN:
H39442
NPI:
1316945165
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Ferguson, Brian, PA-C
ID#:
885111
UPIN:
Q56536
NPI:
1417996620
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Orthopedics
ALLIED HEALTH
August 22, 2012
Page 25 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Ferrer, Gorgonia, MD
ID#:
123604
UPIN:
G17146
NPI:
1912025651
7610 Carroll Ave
Suite 420
Takoma Park, MD 20912-6321
Phone:
(301) 891-0197
Fax:
(301) 891-0199
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Figaro, K. Michael, MD
ID#:
118497
UPIN:
H10290
NPI:
1831128750
12150 Annapolis Rd.
Suite 200
(301) 464-3682
Fax:
(301) 464-3684
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Finkelstein, Arthur, MD
ID#:
130195
UPIN:
C88918
NPI:
1922045129
1140 Varnum Street NE
Suite 110
(202) 269-0366
Fax:
(202) 529-2162
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Fisher, Christopher, DDS
ID#:
109751
UPIN:
T30834
NPI:
1891872461
Suite 109
(301) 982-4555
Fax:
(301) 982-4557
SURGERY
ORAL
ACTIVE
Florek, Lindsay J., PA-C
ID#:
883926
UPIN:
NPI:
1174806236
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
ALLIED HEALTH
Floyd, William C, CRNA
ID#:
884338
UPIN:
NPI:
1033191713
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Folden, Debra L, PA-C
ID#:
886762
UPIN:
S43108
NPI:
1760422950
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Fomufod, Antoine K, MD
ID#:
116350
UPIN:
G47767
NPI:
1154372274
Pediatrix at PGHC
3001 Hospital Drive
(301) 618-2630
Fax:
(301) 618-3941
PEDIATRICS
NEONATOLOGY
ACTIVE
August 22, 2012
Page 26 of 79
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Forrester, Leighton H, MD
ID#:
117069
UPIN:
F40384
NPI:
1831240191
7500 Hanover Pkwy
Suite 204
(301) 345-7878
Fax:
(301) 345-4375
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Fowlkes, William C, MD
ID#:
127936
UPIN:
NPI:
1760588263
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Francis, Jack, MD
ID#:
102590
UPIN:
C61667
NPI:
1114966603
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
SENIOR MERITORIOUS
Fraser, Rosaline O, MD
ID#:
118406
UPIN:
G92225
NPI:
1588632384
6201 Greenbelt Road
Suite L5
(301) 441-1234
Fax:
(301) 441-1235
FAMILY MEDICINE
Frattarola, Isabelita, MD
ID#:
114025
UPIN:
00 - ped
NPI:
1467404608
Pediatrix at PGHC
3001 Hospital Drive
(301) 618-3280
Fax:
(301) 618-2198
PEDIATRICS
NEONATOLOGY
ACTIVE
Fuqua, Tangela J, CRNA
ID#:
884023
UPIN:
NPI:
1568427094
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Gacad, Gerardo, MD
ID#:
105718
UPIN:
B94113
NPI:
1952430464
6510 Kenilworth Ave
Suite 2700
(301) 699-5990
Fax:
(301) 927-1691
INTERNAL MEDICINE
PULMONARY
SENIOR MERITORIOUS
Gadesam, Radhika R, MD
ID#:
130500
UPIN:
NPI:
1427285006
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
TEMPORARY
August 22, 2012
Page 27 of 79
ASSOCIATE
ASSOCIATE
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Gandhi, Hiren S, MD
ID#:
125070
UPIN:
H83573
NPI:
1003895475
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
Ganjoo, Dida, MD
ID#:
113308
UPIN:
E66123
NPI:
1265451470
3060 Mitchellville Rd.
Suite 104
(301) 802-0809
Fax:
(301) 390-8086
PSYCHIATRY
Gavant, Morris L, MD
ID#:
122614
UPIN:
A99956
NPI:
1245274166
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Gebremichael, Mesfin S, MD
ID#:
119180
UPIN:
F70976
NPI:
1609957430
9801 Greenbelt Road
Suite 101
(301) 552-0008
Fax:
(301) 552-6216
INTERNAL MEDICINE
PULMONARY
ASSOCIATE
Gebremichael, Sara S, MD
ID#:
128132
UPIN:
NPI:
1639126550
9801 Greenbelt Road
Suite 101
(301) 552-6666
Fax:
(301) 552-6216
PEDIATRICS
George, C. Donald, MD
ID#:
124230
UPIN:
H80398
NPI:
1245311000
7219 Hanover Pkway
Suite B
(301) 220-1701
Fax:
(301) 220-1704
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Gersh, Elliot S, MD
ID#:
117739
UPIN:
C63758
NPI:
1992800379
Childrens Hospital National Medical Center
13922 Baltimore Avenue
(240) 568-7031
Fax:
(240) 568-7010
PEDIATRICS
ASSOCIATE
Ghorbani, Reza, MD
ID#:
127647
UPIN:
G47840
NPI:
1033194584
Suite 440
(301) 220-1333
Fax:
(301) 220-1533
ANESTHESIA
ALGOLOGY
ASSOCIATE
August 22, 2012
Page 28 of 79
ASSOCIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Giadom, Barinada, MD
ID#:
127803
UPIN:
H51061
NPI:
1386681708
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
Gibson, David, PA-C
ID#:
889832
UPIN:
Q12149
NPI:
1568576874
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Gilbert, David D, DO
ID#:
130518
UPIN:
NPI:
1295932234
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Gilbert-McClain, Lydia I., MD
ID#:
119206
UPIN:
G22459
NPI:
1861513301
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-6374
CRITICAL CARE
Gill, Reva S, MD
ID#:
117523
UPIN:
G37863
NPI:
1184782369
6510 Kenilworth Ave
Suite 2400
(301) 927-2711
Fax:
(301) 277-4834
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Gillam, Sara L, PA-C
ID#:
884106
UPIN:
NPI:
1134176654
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
ALLIED HEALTH
Glasser, Scott A., MD
ID#:
120501
UPIN:
E93717
NPI:
1336129915
Image On Call LLC
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
Glazer, Jennifer S, PA-C
ID#:
884916
UPIN:
00
NPI:
1013077940
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
August 22, 2012
Page 29 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Glover, Kim B, MD
ID#:
123620
UPIN:
H59559
NPI:
1306864574
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
ASSOCIATE
Goel, Saurabh K., MD
ID#:
130203
UPIN:
NPI:
1760678221
1140 Varnum Street NE
Suite 110
(202) 269-0366
Fax:
(202) 529-2162
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Goharkhay, Nima, MD
ID#:
129585
UPIN:
NPI:
1841359239
15005 Shady Grove Road
Suite 120
Shady Grove, MD 20850-6341
Phone:
(888) 627-4702
Fax:
(301) 270-2985
OB/GYN
ASSOCIATE
Golding, Corey E, MD
ID#:
129452
UPIN:
NPI:
1417020967
Image On Call LLC
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
Goldstein, Laurence D, MD
ID#:
121855
UPIN:
E23678
NPI:
1700814928
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Gonzalez, William L, MD
ID#:
118794
UPIN:
C62394
NPI:
1568575389
4000 Mitchellville Rd
Suite B128
(301) 464-1192
Fax:
(301) 464-2864
SURGERY
OPHTHALMOLOG
ASSOCIATE
Gooch, Denise R, MD
ID#:
129528
UPIN:
F56077
NPI:
1023115326
(301) 446-3540
Fax:
(301) 446-3543
INTERNAL MEDICINE
RADIATION ONCOLOGY
ASSOCIATE
Gooray, David, MD
ID#:
110650
UPIN:
C89166
NPI:
1720070261
Suite 217
(301) 583-7770
Fax:
(301) 583-9414
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
August 22, 2012
Page 30 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Gorantla, Saritha, MD
ID#:
129205
UPIN:
NPI:
1174780571
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Green, Linda D, MD
ID#:
116921
UPIN:
C88662
NPI:
1114005097
PGHC Internal Medicine Dept
3001 Hospital Drive - 5th Floor
(301) 618-3371
Fax:
(301) 618-2986
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Green, Richard P, MD
ID#:
125724
UPIN:
C62837
NPI:
1528048998
106 Irving St, NW
Suite 204
(202) 291-3062
Fax:
(202) 291-3903
OB/GYN
REFER & REVIEW
Griffin-Weathers, Cassandra, CRNADHA Anesthesia @ PGHC
ID#:
886077
3001 Hospital Drive
UPIN:
R55226
Cheverly, MD 20785NPI:
1285602557
Phone:
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
ALLIED HEALTH
Grover, Jennifer J, PA-C
ID#:
884072
UPIN:
NPI:
1326356916
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC OB/GYN
ALLIED HEALTH
Gupta, Renuka, MD
ID#:
113571
UPIN:
C62496
NPI:
1366419566
Suite D
(301) 345-7885
Fax:
(301) 345-7422
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Gupta, Roopali, MD
ID#:
128967
UPIN:
NPI:
1649478462
106 Irving St, NW
Suite 201
(202) 877-0698
Fax:
(202) 877-6959
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Gupta, Suresh C., MD
ID#:
103887
UPIN:
C88048
NPI:
1154411197
3503 Perry Street
Mount Rainier, MD 20712Phone:
(301) 864-1133
Fax:
(301) 864-2155
INTERNAL MEDICINE
PULMONARY
SENIOR MERITORIOUS
August 22, 2012
Page 31 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Gupta, Yudh Vir, MD
ID#:
116533
UPIN:
B93800
NPI:
1215008982
106 Irving St, NW
Suite 201
(202) 877-0698
Fax:
(202) 877-6959
INTERNAL MEDICINE
NEPHROLOGY
ACTIVE
Haber, Clark D., MD
ID#:
UPIN:
F70756
NPI:
1639189905
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Haile, Mezgebe, MD
ID#:
118257
UPIN:
G65470
NPI:
1497756357
7525 Greenway Ctr Dr
Suite T5
(301) 345-1400
Fax:
(301) 345-0793
PEDIATRICS
Hammad, Walid, MD
ID#:
130526
UPIN:
NPI:
1710265210
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Han, Linhuang, PA-C
ID#:
883900
UPIN:
NPI:
1023306156
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Vascular
ALLIED HEALTH
Hardy, Cyril, MD
ID#:
101691
UPIN:
D09274
NPI:
1063401677
7620 Carroll Ave
Suite 100
Takoma Park, MD 20912Phone:
(301) 270-1524
Fax:
(301) 270-1523
PSYCHIATRY
Harewood, Anthony F, MD
ID#:
129353
UPIN:
NPI:
1861464265
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Hayes, Sherri, CRNP
ID#:
884403
UPIN:
NPI:
1104067883
3001 Hospital Drive-Cardiology
(301) 618-2962
Fax:
(301) 618-6418
INTERNAL MEDICINE
CARDIOLOGY
ALLIED HEALTH
August 22, 2012
Page 32 of 79
ASSOCIATE
SENIOR MERITORIOUS
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Healy, Gary, MD
ID#:
104208
UPIN:
C88819
NPI:
1821030917
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Heaton, Robert B, MD
ID#:
127357
UPIN:
I 42345
NPI:
1003817164
Civista Medical Center
Dept Of Pathology
5 Garrett Ave
Laplata, MD 20646Phone:
(301) 618-3050
Fax:
(301) 618-6470
PATHOLOGY
Hemann, Brian A, MD
ID#:
127423
UPIN:
NPI:
1316048648
8901 Wisconsin Ave
Walter Reed Med Ctr
(301) 319-3480
Fax:
(301) 295-6616
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Henderson, James L, MD
ID#:
126821
UPIN:
F52820
NPI:
1750366860
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Hendricks, Susan K., MD
ID#:
130492
UPIN:
NPI:
1730169186
3001 Hospital Drive
(301) 618-3542
Fax:
(301) 618-3373
OB/GYN
TEMPORARY
Hernandez, Tomas, MD
ID#:
103655
UPIN:
D09295
NPI:
1174501241
Suite T6
(301) 345-4465
Fax:
(301) 345-7797
INTERNAL MEDICINE
CARDIOLOGY
REFER & REVIEW
Hilliard, Teresa L, DPM
ID#:
130104
UPIN:
NPI:
1558445379
8416 Central Avenue
(301) 390-4440
Fax:
(202) 726-0656
SURGERY
PODIATRY
ASSOCIATE
Hirata, Jeffrey T, MD
ID#:
128546
UPIN:
NPI:
1740312149
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
August 22, 2012
Page 33 of 79
SENIOR MERITORIOUS
ASSOCIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Hodjati, Hooshang, MD
ID#:
107136
UPIN:
B94445
NPI:
1780749713
7711 Garrison Rd
#101
Landover Hills, MD 20784
Phone:
(301) 731-4060
Fax:
(301) 577-2964
PEDIATRICS
Hodor, Jonathan G, DO
ID#:
129593
UPIN:
NPI:
1720029366
Suite 120
Phone:
(888) 627-4702
Fax:
OB/GYN
ASSOCIATE
Holland, Elwood, MD
ID#:
106849
UPIN:
C62626
NPI:
1821136466
6005 Landover Road
Suite 3
(301) 341-1177
Fax:
(301) 341-1244
FAMILY MEDICINE
Hsu, Chin-Chuan, MD
ID#:
103804
UPIN:
C62614
NPI:
1699786095
Suite 215
(301) 779-4334
Fax:
(301) 779-4364
INTERNAL MEDICINE
GENERAL MEDICINE
SENIOR MERITORIOUS
Huang, Hiro Tu-Po, MD
ID#:
102376
UPIN:
00 - ped
NPI:
1326056730
8357 Cherry Lane
(301) 725-4700
Fax:
(301) 604-2828
PEDIATRICS
Huppmann, Michael V, MD
ID#:
130211
UPIN:
NPI:
1164628467
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Hussein, Saifudin A, MD
ID#:
127571
UPIN:
NPI:
1306025739
Suite 229
(301) 979-7503
Fax:
(301) 979-7507
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Ibrahim, Alia A., MD
ID#:
UPIN:
NPI:
1043221732
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
August 22, 2012
Page 34 of 79
REFER & REVIEW
ACTIVE
REFER & REVIEW
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Imran, Farhan S., MD
ID#:
129924
UPIN:
NPI:
1518133875
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Ipakchi, Ali, MD
ID#:
123059
UPIN:
H32439
NPI:
1487618773
Suite B
Greenbelt, MD 20770-3621
Phone:
(301) 345-0605
Fax:
(301) 345-0606
INTERNAL MEDICINE
NEPHROLOGY
ACTIVE
Jacobs, Ronnie, MD
ID#:
128181
UPIN:
NPI:
1205898483
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Jaffe, Gabriel, MD
ID#:
105346
UPIN:
C62336
NPI:
1639135999
8116 Good Luck Road
Suite 300
(240) 241-7474
Fax:
(301) 731-5733
INTERNAL MEDICINE
GENERAL MEDICINE
SENIOR MERITORIOUS
Jamali, Farhad, MD
ID#:
124099
UPIN:
H95687
NPI:
1548248388
12150 Annapolis Rd.
Suite 308
(301) 805-0006
Fax:
(301) 805-5757
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Janani, Javanshir, MD
ID#:
100206
UPIN:
C61586
NPI:
1447294749
7300 Hanover Drive
Suite 104
(301) 864-7100
Fax:
(301) 486-4692
SURGERY
THORACIC
SENIOR MERITORIOUS
Jayakumar, Arun G, MD
ID#:
128959
UPIN:
NPI:
1477544575
Suite B
Phone:
(301) 345-0605
Fax:
(301) 345-0606
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Jenkins, Susan, MD
ID#:
116640
UPIN:
F07985
NPI:
1942299417
Suite 117
(301) 583-0500
Fax:
(301) 583-7900
OB/GYN
Gynecology Only
ASSOCIATE
August 22, 2012
Page 35 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Jeon, Janice Y, MD
ID#:
130435
UPIN:
NPI:
1467774729
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Jiang, Ning, MD
ID#:
129916
UPIN:
NPI:
1841430188
(301) 618-3776
Fax:
(301) 618-3298
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Johnson, Antoine G, DDS
ID#:
129908
UPIN:
NPI:
1679730709
Suite 236
(301) 249-0553
Fax:
(301) 249-0555
SURGERY
ORAL
ASSOCIATE
Johnson, Edward A., MD
ID#:
118380
UPIN:
F76923
NPI:
1245371152
1747 Corcoran St., NW
(202) 319-9213
Fax:
(202) 319-9213
PSYCHIATRY
Joly, John M, MD
ID#:
114207
UPIN:
E27292
NPI:
1992790356
Suite 300
(301) 599-9500
Fax:
(301) 599-5389
ORTHOPEDICS
Jones, Angela E, MD
ID#:
129890
UPIN:
NPI:
1669648457
Suite 300
(301) 599-9500
Fax:
(301) 599-5389
ORTHOPEDICS
Jones, Darnell M., PA-C
ID#:
UPIN:
NPI:
1477598464
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
TEMPORARY
Kallon, Agnes J., CRNP
ID#:
883801
UPIN:
NPI:
1043536790
3001 Hospital Drive
Fax:
INTERNAL MEDICINE
GENERAL MEDICINE
ALLIED HEALTH
August 22, 2012
Page 36 of 79
ASSOCIATE
ACTIVE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Kalra, Kavita B, MD
ID#:
128884
UPIN:
H64535
NPI:
1063495232
200 East 33rd Street
Suite 460
(410) 261-8364
Fax:
(410) 261-8784
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ASSOCIATE
Kalra, Lalit, MD
ID#:
128611
UPIN:
NPI:
1710144811
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Kanu, Bai, MD
ID#:
125393
UPIN:
H60663
NPI:
1033163571
Prime Healthcare, LLC
3233 Superior Lane, Suite B21
(301) 805-2500
Fax:
(301) 805-0114
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Kaplan, Milca A., CRNP
ID#:
883793
UPIN:
NPI:
1457611774
6130 Landover Rd
(301) 322-7737
Fax:
(301) 386-2794
INTERNAL MEDICINE
PULMONARY
ALLIED HEALTH
Karunwi, Adedeji O, MD
ID#:
128579
UPIN:
NPI:
1619143849
(301) 362-2042
Fax:
(240) 568-2933
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Kataria, Bideshwar K, MD
ID#:
127118
UPIN:
F05929
NPI:
1255330536
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Katz, Jon M, MD
ID#:
129734
UPIN:
NPI:
1023622167
3001 Hospital Drive
(301) 618-3542
Fax:
(301) 618-3373
OB/GYN
ASSOCIATE
Katz, Steven, MD
ID#:
127779
UPIN:
F96684
NPI:
1285684118
(301) 809-2024
Fax:
(301) 464-3572
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
August 22, 2012
Page 37 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Keenan, Andrew M, MD
ID#:
115436
UPIN:
E64136
NPI:
1467405175
Nuclear Medicine Dept
(301) 618-2282
Fax:
(301) 618-3957
INTERNAL MEDICINE
NUCLEAR MEDICINE
ACTIVE
Kellogg, Tamara, MD
ID#:
128942
UPIN:
H85792
NPI:
1467438069
7300 Van Dusen Rd
(301) 497-7954
Fax:
(301) 497-8741
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Kennedy, Jackie L, PA-C
ID#:
884064
UPIN:
NPI:
1730497918
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Keramati, Bijan, MD
ID#:
122291
UPIN:
D77886
NPI:
1083640700
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Khan, Irfan A, MD
ID#:
126607
UPIN:
I08075
NPI:
1033186531
Suite 209
(301) 474-0400
Fax:
(301) 474-2686
INTERNAL MEDICINE
ENDOCRINOLOGY
ASSOCIATE
Khan, M. Ali, MD
ID#:
107870
UPIN:
D09620
NPI:
1487611059
7741 Belle Point Drive
(301) 345-3152
Fax:
(301) 345-3182
SURGERY
GENERAL SURGERY
ACTIVE
Khan, M. Asgar, MD
ID#:
121434
UPIN:
G58583
NPI:
1043267016
730 24th Street, NW #17
Washington, DC 20037
Phone:
(202) 337-7660
Fax:
(202) 625-6018
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Khatri, Parvez, MD
ID#:
122887
UPIN:
H25150
NPI:
1255484770
1160 Varnum Street, NE
Suite 302
(202) 449-9634
Fax:
(202) 449-9633
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
August 22, 2012
Page 38 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Khurram, Irfan M., MD
ID#:
130062
UPIN:
NPI:
1538229612
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Kifle, Biniam G, PA-C
ID#:
884379
UPIN:
NPI:
1396980850
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Vascular
ALLIED HEALTH
King, Aprileona L, PA-C
ID#:
884585
UPIN:
NPI:
1417114521
(301) 809-2024
Fax:
(301) 464-3572
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Ko, Thomas, MD
ID#:
108621
UPIN:
C88372
NPI:
1598744617
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Kong, Jie, CRNP
ID#:
884965
UPIN:
00Q74111
NPI:
1215040951
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
ALLIED HEALTH
Koon, Wang K, MD
ID#:
122358
UPIN:
C88154
NPI:
1710936802
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
ASSOCIATE
Korapati, Chandrasekhar, MD
ID#:
118422
UPIN:
G65955
NPI:
1356384176
Suite B
(301) 474-4443
Fax:
(301) 474-1154
INTERNAL MEDICINE
NEPHROLOGY
ACTIVE
Korden, Rex, PA-C
ID#:
889717
UPIN:
R24821
NPI:
1649314881
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Orthopedics
ALLIED HEALTH
August 22, 2012
Page 39 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Koscianski, Theresa, CRNA
ID#:
889824
UPIN:
S61366
NPI:
1417999145
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Kothakota, Sankara, MD
ID#:
107854
UPIN:
B94803
NPI:
1063412765
5632 Annapolis Rd
Suite 2
(301) 864-7600
Fax:
(301) 864-6245
ORTHOPEDICS
Kramer, Wayne B, MD
ID#:
129577
UPIN:
F02401
NPI:
1801987383
Suite 120
Phone:
(888) 627-4702
Fax:
OB/GYN
ASSOCIATE
Krishnan, Anita, MD
ID#:
129460
UPIN:
NPI:
1063561090
111 Michigan Avenue, N.W.
Suite 200
(202) 476-2090
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Kronthal, Alan, MD
ID#:
122002
UPIN:
F32140
NPI:
1720078439
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Kshash, Dhirgham H, MD
ID#:
128116
UPIN:
NPI:
1912183682
6201 Greenbelt Rd.
Suite M16
(301) 441-4400
Fax:
(301) 441-3008
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Kulkarni, Anuradha, MD
ID#:
110262
UPIN:
D05835
NPI:
1528141926
6188 Oxon Hill Rd
Suite 606
Oxon Hill, MD 20745Phone:
(301) 839-6811
Fax:
(301) 839-1869
INTERNAL MEDICINE
PHYSICAL MEDICINE
SENIOR MERITORIOUS
Kumar, Shailendra, MD
ID#:
103473
UPIN:
C62044
NPI:
1376571513
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
SENIOR MERITORIOUS
August 22, 2012
Page 40 of 79
ALLIED HEALTH
ACTIVE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Kuppusamy, Priya S., MD
ID#:
130534
UPIN:
NPI:
1164681052
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
TEMPORARY
Kurichh, Anu, MD
ID#:
121640
UPIN:
C62662
NPI:
1467558874
Laurel Regional Hospital, Pathology Dept
7300 Van Dusen Road
(301) 497-7930
Fax:
(301) 362-2065
PATHOLOGY
Kyerematen, Sophia, CNM
ID#:
889402
UPIN:
S42834
NPI:
1720172547
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
Lagunas-Fitta, Miriam, MD
ID#:
128454
UPIN:
NPI:
1508084666
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Lakew, Elias, MD
ID#:
130559
UPIN:
G91759
NPI:
1780637355
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Lakhanpal, Sanjiv, MD
ID#:
119883
UPIN:
G69956
NPI:
1124074083
7300 Hanover Drive
Suite 104
(301) 441-8807
Fax:
(301) 441-8806
SURGERY
CARDIAC SURGERY
ACTIVE
Lasekan, Bosede D, CNM
ID#:
886499
UPIN:
00
NPI:
1518047380
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
Lavigne, Alison B, MD
ID#:
116566
UPIN:
F41765
NPI:
1104152297
Doctors Regional Cancer Care
4901 Telsa Drive
Suite A
(301) 805-6860
Fax:
(301) 805-0755
INTERNAL MEDICINE
RADIATION ONCOLOGY
ASSOCIATE
August 22, 2012
Page 41 of 79
SENIOR MERITORIOUS
AFFILIATE
AFFILIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Leach, Kadie, MD
ID#:
111245
UPIN:
B94923
NPI:
1952491672
9500 Annapolis Road
Suite A-1
(301) 577-5818
Fax:
(301) 577-4120
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Leatherbury, Linda, MD
ID#:
125427
UPIN:
D30031
NPI:
1437243953
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Ledder, Christen, PA-C
ID#:
884478
UPIN:
NPI:
1194976035
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Lee, Dianne Gwendolyn, CNM
ID#:
885657
UPIN:
P97864
NPI:
1861530883
3001 Hospital Drive
(301) 618-2244
Fax:
(301) 618-2247
OB/GYN
Lee, Heather M, MD
ID#:
125849
UPIN:
I20182
NPI:
1518922459
4901 Telsa Drive
Suite A
(301) 805-6860
Fax:
(607) 324-7615
INTERNAL MEDICINE
RADIATION ONCOLOGY
ASSOCIATE
Lee, Hee H, MD
ID#:
125989
UPIN:
C88477
NPI:
1215927694
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Lee, Jung H, MD
ID#:
125997
UPIN:
E80677
NPI:
1932199312
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Leon, Sergio A, MD
ID#:
129338
UPIN:
NPI:
1083814057
(301) 618-3772
Fax:
(301) 618-3298
INTERNAL MEDICINE
RHEUMATOLOGY
ASSOCIATE
August 22, 2012
Page 42 of 79
AFFILIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Leskuski, Dona M, DO
ID#:
128157
UPIN:
NPI:
1740212950
9200 Basil Court #200
(703) 538-2070
Fax:
(301) 883-0925
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Lewis, Lisa M, PA-C
ID#:
884056
UPIN:
NPI:
1285648725
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC OB/GYN
ALLIED HEALTH
Li, Ping, MD
ID#:
127761
UPIN:
NPI:
1881873644
Suite 100
(301) 779-1949
Fax:
(301) 699-1703
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Ligon-Nunez, Rhamin, MD
ID#:
130567
UPIN:
NPI:
1902905342
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
TEMPORARY
Lilly, J. Richard, MD
ID#:
100404
UPIN:
D09277
NPI:
1528051711
5804 Baltimore Ave
Hyattsville, MD 20781
Phone:
(301) 927-7800
Fax:
(301) 927-0375
FAMILY MEDICINE
Littman, Anne, PA-C
ID#:
884080
UPIN:
NPI:
1174831820
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC OB/GYN
ALLIED HEALTH
Liu, Wayne, MD
ID#:
108233
UPIN:
E13605
NPI:
1457467268
3611 Branch Ave
Suite 305
Temple Hills, MD 20748Phone:
(301) 423-5540
Fax:
(301) 423-8491
SURGERY
ENT
ASSOCIATE
Lokhande, Abha, MD
ID#:
130310
UPIN:
NPI:
1184939134
6919 Clarendon Road
Apt. 309
(301) 768-2661
Fax:
(240) 743-4482
INTERNAL MEDICINE
PHYSICAL MEDICINE
ASSOCIATE
August 22, 2012
Page 43 of 79
SENIOR MERITORIOUS
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Loth, Linda R, PA-C
ID#:
828736
UPIN:
NPI:
1881923621
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Vascular
ALLIED HEALTH
Lynch, Barlow, MD
ID#:
110403
UPIN:
B93281
NPI:
1841277027
7321-A Hanover Parkway
(301) 474-1324
Fax:
(301) 474-1327
SURGERY
UROLOGY
ACTIVE
Lyons, P. Thomas, MD
ID#:
110957
UPIN:
F68382
NPI:
1851339063
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ACTIVE
Mahjoob, Homayoon, MD
ID#:
128660
UPIN:
NPI:
1740494178
12150 Annapolis Rd.
Suite 312
(301) 352-7771
Fax:
(800) 681-5070
INTERNAL MEDICINE
GI
ASSOCIATE
Malik, Suresh, MD
ID#:
128249
UPIN:
NPI:
1447466552
(301) 362-2042
Fax:
(240) 568-2933
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Malik, Tanveer A, MD
ID#:
129783
UPIN:
NPI:
1336129840
6504 Kenilworth Avenue #200
(301) 927-8011
Fax:
(301) 699-1584
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Malinsky, Svetlana, DPM
ID#:
126219
UPIN:
V01280
NPI:
1972594554
6201 Greenbelt Rd
Suite U12
(301) 474-1933
Fax:
(301) 441-9233
SURGERY
PODIATRY
REFER & REVIEW
Malouf, Jr., George, MD
ID#:
109736
UPIN:
B92748
NPI:
1053381210
5210 Auth Road
Suite 200
Camp Springs, MD 20746-4330
Phone:
(301) 423-5252
Fax:
(301) 423-2414
SURGERY
OPHTHALMOLOG
ASSOCIATE
August 22, 2012
Page 44 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Manlucu, Ellen D, MD
ID#:
126490
UPIN:
G90736
NPI:
1437255841
Dept Of Pathology
5 Garrett Ave
(301) 618-3049
Fax:
(301) 618-2939
PATHOLOGY
Mannan, Mohammed, MD
ID#:
109017
UPIN:
C62637
NPI:
1881708162
3331 Toledo Terrace
Suite 206
(301) 559-4898
Fax:
(301) 559-4899
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Marcelo, Napoleon, MD
ID#:
112078
UPIN:
E56736
NPI:
1700833365
Suite B430
(301) 262-8602
Fax:
(301) 805-7784
INTERNAL MEDICINE
GI
ACTIVE
Mardiney, Michael R, MD
ID#:
127134
UPIN:
C48938
NPI:
1114977295
Suite 201
(301) 262-9375
Fax:
(410) 377-4892
INTERNAL MEDICINE
Allergy-Immunology
REFER & REVIEW
Marshall, Eric C, MD
ID#:
123596
UPIN:
H27836
NPI:
1841228947
1160 Varnum Str NE
Suite 117
(202) 832-7007
Fax:
(202) 529-5290
FAMILY MEDICINE
Marshall, Leslie, MD
ID#:
122127
UPIN:
G06760
NPI:
1518995968
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Martin, Gerard R, MD
ID#:
120600
UPIN:
C88906
NPI:
1780778209
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Matin, Terri, MD
ID#:
121327
UPIN:
G01023
NPI:
1265589956
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
CRITICAL CARE
August 22, 2012
Page 45 of 79
ACTIVE
REFER & REVIEW
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Mayo, Douglas D., MD
ID#:
130575
UPIN:
I13705
NPI:
1548221062
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Mbanuzue, Queen, DPM
ID#:
129882
UPIN:
NPI:
1972769339
2905 Mitchellville Road, #105
(301) 430-0337
Fax:
(301) 542-0086
SURGERY
PODIATRY
ASSOCIATE
Mbonu, Ikechukwu D, MD
ID#:
125930
UPIN:
H94018
NPI:
1841291788
#215
(410) 740-4411
Fax:
(410) 740-4421
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
McCabe, Diane P., PA-C
ID#:
883759
UPIN:
NPI:
1063730562
Infectious Disease Care Center
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
TEMPORARY
McCabe, James M, MD
ID#:
124701
UPIN:
C87891
NPI:
1154365328
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
McCalla, Tiffany N, MD
ID#:
129536
UPIN:
NPI:
1003877523
7300 Van Dusen Rd
(301) 497-7954
Fax:
(301) 497-8741
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
McCatty, Sandra L, MD
ID#:
129544
UPIN:
E21331
NPI:
1679524045
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
McDowell, Vesta, DPM
ID#:
126896
UPIN:
T31039
NPI:
1639145147
7425 Forbes Boulevard
Suite 105
(301) 352-7756
Fax:
(301) 352-7725
SURGERY
PODIATRY
ASSOCIATE
August 22, 2012
Page 46 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
McGann, Stephany, MD
ID#:
129239
UPIN:
NPI:
1831393792
651 Main Street
(301) 725-7014
Fax:
(301) 725-7280
INTERNAL MEDICINE
RHEUMATOLOGY
ASSOCIATE
McKelvin, Felicia, PA-C
ID#:
884775
UPIN:
00
NPI:
1376630749
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
McKenney, Kevin A, MD
ID#:
125732
UPIN:
I17679
NPI:
1639119571
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Mehari, Fisehatsion G, MD
ID#:
127027
UPIN:
I56126
NPI:
1023052867
12700 Goodloes Promise Drive
MEDQUEST
(301) 464-3683
Fax:
(301) 464-3684
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Mehta, Arvind, MD
ID#:
108183
UPIN:
C88866
NPI:
1386795797
7100 Baltimore Ave
Suite 509
(301) 864-5280
Fax:
(301) 864-5281
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Mehta, Tulsi K., MD
ID#:
130443
UPIN:
I31413
NPI:
1104890185
(301) 474-1324
Fax:
(301) 474-1327
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Melograna, Frank, MD
ID#:
108522
UPIN:
D09513
NPI:
1528050895
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
ASSOCIATE
Menendez, Leonardo F, DDS
ID#:
116152
UPIN:
U57207
NPI:
1265442578
3233 Superior Lane
Suite B23
Bowie,, MD 20715Phone:
(301) 262-4500
Fax:
(301) 262-2912
SURGERY
ORAL
ASSOCIATE
August 22, 2012
Page 47 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Menon, Anitha, MD
ID#:
126953
UPIN:
00
NPI:
1720030497
5711 Sarvis Ave
Suite 200
(301) 277-8100
Fax:
(301) 277-0668
PEDIATRICS
Miles, Lester M, MD
ID#:
123166
UPIN:
C88394
NPI:
1467463992
1160 Varnum Street, N.E.
Suite 306
(202) 269-2011
Fax:
(202) 269-2013
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ASSOCIATE
Miles, Wendell G, MD
ID#:
124537
UPIN:
H83027
NPI:
1770671778
5530 Wisconsin Avenue
Suite 1135
Chevy Chase, MD 20815Phone:
(202) 236-4046
Fax:
(301) 951-8128
SURGERY
PLASTIC
ACTIVE
Militano, Thomas C., MD
ID#:
1341-5
UPIN:
B45690
NPI:
1952325037
12200 Annapolis Rd.
Suite 225
Glen Dale, MD 20769Phone:
(301) 809-0927
Fax:
(301) 809-0924
SURGERY
CARDIAC SURGERY
ASSOCIATE
Mingo, Alfie E, MD
ID#:
129411
UPIN:
NPI:
1578508149
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Mirmirani, Nooreddin, MD
ID#:
119305
UPIN:
B93038
NPI:
1033226451
5537 Hempstead Way
Springfield, VA 22151Phone:
(703) 922-8484
Fax:
(703) 354-7825
PSYCHIATRY
Mishner, Edward B., MD
ID#:
121863
UPIN:
B94373
NPI:
1679517544
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
Misra, Brajendra, MD
ID#:
107680
UPIN:
C62100
NPI:
1366513889
Suite A
(301) 220-0088
Fax:
(301) 220-1005
SURGERY
GENERAL SURGERY
SENIOR MERITORIOUS
August 22, 2012
Page 48 of 79
ASSOCIATE
ACTIVE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Mitchell, Anthony L, MD
ID#:
129031
UPIN:
NPI:
1013968080
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Modjtabai, Khodadad, MD
ID#:
125609
UPIN:
I08734
NPI:
1578567913
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
ACTIVE
Mody, Vibhakar, MD
ID#:
114256
UPIN:
B94531
NPI:
1548215650
7307 Baltimore Ave
Suite 212
(301) 699-1515
Fax:
(301) 779-3685
OB/GYN
Gynecology Only
SENIOR MERITORIOUS
Mofrad, Pirooz S, MD
ID#:
127001
UPIN:
I73904
NPI:
1699865758
Washington Heart Rhythm Assoc.
10230 New Hampshire #204
(301) 408-7890
Fax:
(301) 408-7892
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Moore, Javaka, MD
ID#:
126904
UPIN:
00
NPI:
1669532347
7610 Pennsylvania Ave
Suite 305
Forestville, MD 20747Phone:
(301) 669-1870
Fax:
(301) 669-1873
OB/GYN
ASSOCIATE
Mostaan, Mehrdad, MD
ID#:
115501
UPIN:
C88937
NPI:
1477542306
Suite T3
(301) 983-8237
Fax:
(301) 983-3935
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Mostaghim, Radman, MD
ID#:
115600
UPIN:
F62649
NPI:
1720022023
7305 Hanover Pkwy
Suite A
(301) 982-7900
Fax:
(301) 982-4465
INTERNAL MEDICINE
GI
ASSOCIATE
Movva, Sashidhar, MD
ID#:
113696
UPIN:
E84774
NPI:
1265486252
Greenbelt, MD 20770
Phone:
(301) 345-3232
Fax:
(301) 345-5947
INTERNAL MEDICINE
NEUROLOGY
ACTIVE
August 22, 2012
Page 49 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Mujahid, Humera P, MD
ID#:
126409
UPIN:
H84087
NPI:
1861460305
6130 Landover Road
(301) 322-7737
Fax:
(301) 386-2794
INTERNAL MEDICINE
PULMONARY
ASSOCIATE
Murdock, Jonah D, MD
ID#:
128256
UPIN:
NPI:
1689840928
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
ASSOCIATE
Murdock, Myron I., MD
ID#:
105247
UPIN:
D61977
NPI:
1689613176
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
SENIOR MERITORIOUS
Murthy, Revathy, MD
ID#:
107847
UPIN:
C88305
NPI:
1558307348
6130 Landover Rd
(301) 322-7737
Fax:
(301) 386-2794
INTERNAL MEDICINE
PULMONARY
ACTIVE
Muttath, Sureshkumar, MD
ID#:
125666
UPIN:
H64179
NPI:
1275599458
5711 Sarvis Ave
Suite 200
(301) 277-8100
Fax:
(301) 277-0668
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Nader, German H., MD
ID#:
103895
UPIN:
B92819
NPI:
1104922111
8717 Greenbelt Road
Suite 204
Phone:
(301) 345-6123
Fax:
(301) 474-0129
ORTHOPEDICS
Naficy, Mohammad Ali, MD
ID#:
110700
UPIN:
E15093
NPI:
1598754756
3001 Hospital Drive
#H405
(301) 618-2195
Fax:
(301) 618-6490
SURGERY
THORACIC
ACTIVE
Narla, Rajender, MD
ID#:
128793
UPIN:
NPI:
1518082593
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
August 22, 2012
Page 50 of 79
SENIOR MERITORIOUS
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Nath, Sanil R, MD
ID#:
120394
UPIN:
G88343
NPI:
1548224934
Suite B
Phone:
(301) 345-0605
Fax:
(301) 345-0606
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Nayak, Lipishree, MD
ID#:
116475
UPIN:
G06940
NPI:
1972675742
9811 Mallard Drive
Suite 205
(301) 953-1020
Fax:
(301) 953-7918
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Nayar, Sankaran, MD
ID#:
101931
UPIN:
B94071
NPI:
1770768459
3717 38th Ave
Cottage City, MD 20722
Phone:
(301) 927-3778
Fax:
(301) -
INTERNAL MEDICINE
GENERAL MEDICINE
SENIOR MERITORIOUS
Nayeem, Juhi F., MD
ID#:
109439
UPIN:
B70432
NPI:
1689767568
8367 Cherry Lane
(301) 802-1668
Fax:
(301) 498-5097
PSYCHIATRY
Naylor, Jade N, PA-C
ID#:
884361
UPIN:
NPI:
1760662993
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Nedd, Wilton O, MD
ID#:
113621
UPIN:
E36828
NPI:
1821240144
1160 Varnum St.
Suite 217
(202) 529-1303
Fax:
(301) 390-5699
SURGERY
THORACIC
ASSOCIATE
Nelson, Raymon, MD
ID#:
112540
UPIN:
C62006
NPI:
1346236452
6525 Belcrest Rd
(301) 779-7525
Fax:
(301) 779-4997
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Ngone, Ewane C., MD
ID#:
UPIN:
H84201
NPI:
1770554446
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
TEMPORARY
August 22, 2012
Page 51 of 79
SENIOR MERITORIOUS
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Nguyen, Khiet T, MD
ID#:
127985
UPIN:
NPI:
1306979729
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Niazi, Zubair K, MD
ID#:
124362
UPIN:
G52426
NPI:
1306881008
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Nkodo, Marie-Christine, MD
ID#:
113225
UPIN:
E27530
NPI:
1245395821
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
ACTIVE
Nkungula, Tania C., DDS
ID#:
130450
UPIN:
V03431
NPI:
1689663346
Suite 102
(301) 773-7703
Fax:
(301) 773-7708
SURGERY
ORAL
ASSOCIATE
Noel, Patrick, MD
ID#:
105676
UPIN:
C61882
NPI:
1205948429
Suite B
(301) 345-0377
Fax:
(301) 345-1799
ORTHOPEDICS
Nootheti, Sagar, MD
ID#:
108217
UPIN:
C88420
NPI:
1073621793
4700 Berwyn House Rd
Suite 108
(301) 345-0077
Fax:
(301) 345-4489
ORTHOPEDICS
Nosacek, Ivan J, DPM
ID#:
118943
UPIN:
V07548
NPI:
1992807770
3006 Mitchellville Rd
Bowie, MD 20716
Phone:
(301) 390-3338
Fax:
(301) 390-7738
SURGERY
PODIATRY
ASSOCIATE
Nouri, Pouneh, MD
ID#:
129163
UPIN:
I68453
NPI:
1982622809
106 Irving St, NW
Suite 201
(202) 877-0698
Fax:
(202) 877-6959
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
August 22, 2012
Page 52 of 79
ASSOCIATE
ACTIVE
SENIOR MERITORIOUS
SENIOR MERITORIOUS
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Novak, Zina, MD
ID#:
121954
UPIN:
G09693
NPI:
1356383749
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Nwaneri, Uchenna R, MD
ID#:
115428
UPIN:
G24847
NPI:
1538221114
7300 Hanover Drive
Suite 103
(301) 446-1634
Fax:
(301) 446-1638
ORTHOPEDICS
Nwaogwugwu, Uzoamaka T, MD
ID#:
129825
UPIN:
NPI:
1003012063
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Obadina, Felicia A., PA-C
ID#:
883785
UPIN:
NPI:
1811255953
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Obiadi, Gabriel O, MD
ID#:
127126
UPIN:
F97431
NPI:
1649267352
Park Place Primary Care, LLC
601 Seventh Street
Ste. 204
(301) 776-6121
Fax:
(301) 776-3860
PEDIATRICS
Obichere, Anthonia, CNM
ID#:
889634
UPIN:
S39006
NPI:
1790714657
3001 Hospital Drive
(301) 618-2244
Fax:
(301) 618-2247
OB/GYN
Odero, Richard O, MD
ID#:
125559
UPIN:
I06837
NPI:
1417971078
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Odulana, Ore-Oluwa O, CRNA
ID#:
884163
UPIN:
NPI:
1003057035
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
August 22, 2012
Page 53 of 79
ASSOCIATE
ACTIVE
ASSOCIATE
AFFILIATE
ASSOCIATE
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Odunuga, Modupe F, MD
ID#:
125245
UPIN:
F96269
NPI:
1871588079
6122 Landover Road
Cheverly, MD 20785
Phone:
(301) 322-2411
Fax:
(301) 322-2412
PEDIATRICS
Ofwono, Monique, PA-C
ID#:
884247
UPIN:
Q10655
NPI:
1417987223
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Ogunsanya, Mary A, MD
ID#:
123026
UPIN:
H69902
NPI:
1922035633
12150 Annapolis Rd.
Suite 208
(301) 218-0398
Fax:
(301) 218-0040
PEDIATRICS
Ojukwu, Judith O, PA-C
ID#:
884551
UPIN:
NPI:
1164696613
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Int Med / Pulmonary
ALLIED HEALTH
Okoli, Alphonsus E., MD
ID#:
130070
UPIN:
G31286
NPI:
1437203619
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Okwara, Ikechi F., MD
ID#:
121293
UPIN:
F71230
NPI:
1265472567
12200 Annapolis Rd
Suite 316
(301) 313-0600
Fax:
(301) 313-0603
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Oldfield, Allison, MD
ID#:
121921
UPIN:
F59973
NPI:
1417999160
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Oludara-Fadare, Olubayo, MD
ID#:
129379
UPIN:
NPI:
1750563565
7245 Hanover Parkway, #B
(301) 220-2277
Fax:
(301) 220-4464
FAMILY MEDICINE
August 22, 2012
Page 54 of 79
ASSOCIATE
ACTIVE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Onyeaghala, Nwaehihie C, MD
ID#:
125377
UPIN:
G88213
NPI:
1114938800
Suite 100
(301) 464-7601
Fax:
(866) 855-9817
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Onyewu, Chukwuemeka A, MD
ID#:
119735
UPIN:
G06603
NPI:
1760420764
8714 Georgia Avenue
(301) 589-2015
Fax:
(301) 589-2007
SURGERY
PLASTIC
ASSOCIATE
Onyewuenyi, Rita, MD
ID#:
124545
UPIN:
F40275
NPI:
1508982935
6001 Landover Rd.
Suite 5
(301) 772-1212
Fax:
(301) 772-0033
PEDIATRICS
Oshinsky, R. Joan, MD
ID#:
125906
UPIN:
E80567
NPI:
1265643373
8379 Cherry Lane
(301) 483-7558
Fax:
(301) 483-3111
INTERNAL MEDICINE
NEUROLOGY
ASSOCIATE
Ove, Peter N, MD
ID#:
118968
UPIN:
E35823
NPI:
1033111257
2000 Medical Parkway
Suite 101
Annapolis, MD 21401-3742
Phone:
(410) 268-8862
Fax:
(410) 268-0380
ORTHOPEDICS
Owens, Leroy A, MD
ID#:
112516
UPIN:
00 - peds
NPI:
1881671469
11701 Livingston Rd
Suite 307
Fort Washington, MD 20744Phone:
(301) 292-0192
Fax:
(301) 292-5490
PEDIATRICS
Palmer, Courtney, DPM
ID#:
109728
UPIN:
T31036
NPI:
1205830122
168 West Street
Annapolis, MD 21401Phone:
(410) 573-1111
Fax:
(410) 573-1377
SURGERY
PODIATRY
ASSOCIATE
Panfil, Amanda, PA-C
ID#:
884601
UPIN:
NPI:
1841466604
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
August 22, 2012
Page 55 of 79
ASSOCIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Pashapour, Ali Z, DMD
ID#:
127944
UPIN:
NPI:
1124200431
Suite 109
(301) 982-4555
Fax:
(301) 982-4557
SURGERY
ORAL
ASSOCIATE
Patel, Kanaiyalal, MD
ID#:
108399
UPIN:
C88823
NPI:
1295737914
7231 B Hanover Pkwy
(301) 441-3122
Fax:
(301) 441-3124
SURGERY
ENT
ACTIVE
Patel, Kausha, MD
ID#:
129437
UPIN:
NPI:
1548431349
Dept Of Pathology
5 Garrett Ave
(301) 618-3050
Fax:
(301) 618-2939
PATHOLOGY
Patel, Pragna B., MD
ID#:
108357
UPIN:
D06004
NPI:
1255370383
5632 Annapolis Road
Suite 11
(301) 927-2000
Fax:
(301) 927-3030
INTERNAL MEDICINE
GENERAL MEDICINE
SENIOR MERITORIOUS
Paul, Olumuyiwa A., MD
ID#:
122598
UPIN:
G99489
NPI:
1730105297
Suite 305
(240) 245-4203
Fax:
(240) 245-4216
ORTHOPEDICS
Peisner, David B, MD
ID#:
129874
UPIN:
A60312
NPI:
1124095443
Suite 120
Phone:
(888) 627-4702
Fax:
(301) 251-8779
OB/GYN
ASSOCIATE
Perry, Scott T, PA-C
ID#:
885178
UPIN:
00
NPI:
1952457707
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Pettus-Bellamy, Brenda, MD
ID#:
124032
UPIN:
H25404
NPI:
1285648667
6915 Laurel Bowie Road
Suite 301
Bowie, MD 20715
Phone:
(301) 249-8838
Fax:
(301) 249-5334
PEDIATRICS
August 22, 2012
Page 56 of 79
ASSOCIATE
ACTIVE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Pierson, Wendell C., MD
ID#:
120758
UPIN:
H09695
NPI:
1649347394
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
ASSOCIATE
Pilkey, Lawrence F, PA-C
ID#:
884650
UPIN:
NPI:
1689791428
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Pimol, Limpuangthip, MD
ID#:
107599
UPIN:
B93995
NPI:
1053311811
7721 Belle Point Drive
Greenbelt, MD 20770
Phone:
(301) 345-1272
Fax:
(301) 474-2671
INTERNAL MEDICINE
INFECTIOUS DISEASE
SENIOR MERITORIOUS
Pinder, Thomas, MD
ID#:
105312
UPIN:
B93206
NPI:
1922093962
1160 Varnum St NE
Suite 100
(202) 832-1800
Fax:
(202) 832-2071
INTERNAL MEDICINE
CARDIOLOGY
SENIOR MERITORIOUS
Pindling, Andrea, CRNP
ID#:
883892
UPIN:
NPI:
1477841336
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
ALLIED HEALTH
Pion, Sidney J, MD
ID#:
124669
UPIN:
B92737
NPI:
1235173279
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Plagge, Kira L, CRNA
ID#:
885038
UPIN:
00
NPI:
1386628675
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Plaskett, Allen A, CRNA
ID#:
885889
UPIN:
R96375
NPI:
1851462253
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
August 22, 2012
Page 57 of 79
ASSOCIATE
ALLIED HEALTH
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Plaster, Mark L, MD
ID#:
129601
UPIN:
NPI:
1265440408
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Pollak, Steven M., MD
ID#:
104745
UPIN:
C62479
NPI:
1629006424
#930
(301) 345-2412
Fax:
(301) 345-3978
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Poochikian, Vicken K, MD
ID#:
111690
UPIN:
E63754
NPI:
1174568463
5632 Annapolis Road
Suite 3
(301) 779-7607
Fax:
(301) 927-0335
INTERNAL MEDICINE
GENERAL MEDICINE
ACTIVE
Porambo, Albert V, MD
ID#:
126375
UPIN:
I02134
NPI:
1285670158
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Posner, David M., DO
ID#:
130633
UPIN:
D75289
NPI:
1942200100
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Pyfrom, Ricardo O, MD
ID#:
119693
UPIN:
G82629
NPI:
1083788095
Suite 115
(301) 809-2575
Fax:
(301) 809-2574
ORTHOPEDICS
Quash, Jr., Joseph A, MD
ID#:
128058
UPIN:
NPI:
1427268424
1160 Varnum St NE
Suite 100
(202) 832-1800
Fax:
(202) 832-2071
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Queen-Persad, Tyna L, PA-C
ID#:
884098
UPIN:
NPI:
1205866241
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC OB/GYN
ALLIED HEALTH
August 22, 2012
Page 58 of 79
ASSOCIATE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Quick, Annette, CRNA
ID#:
889584
UPIN:
S90260
NPI:
1891808960
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Rabin, Joseph, MD
ID#:
130708
UPIN:
NPI:
1639303670
Univ. of Maryland Shock Trauma
22 S. Greene Street
Room T3R32
(410) 328-8979
Fax:
SURGERY
TRAUMATOLOGY
TEMPORARY
Radford, Shawn C, MD
ID#:
129296
UPIN:
NPI:
1790995934
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Radley, Steven J., MD
ID#:
UPIN:
F11856
NPI:
1679538128
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
TEMPORARY
Rainie, Blake, CNM
ID#:
884429
UPIN:
NPI:
1003055591
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
Ralls, Bernard L, MD
ID#:
125914
UPIN:
B94772
NPI:
1972593655
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Ranpuria, Reena K, MD
ID#:
128363
UPIN:
NPI:
1518173608
#930
(301) 345-2412
Fax:
(301) 345-3978
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Rao, Aroor, MD
ID#:
109934
UPIN:
C88331
NPI:
1588644066
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
August 22, 2012
Page 59 of 79
ALLIED HEALTH
AFFILIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Rao, Sankineni J., MD
ID#:
112029
UPIN:
D09662
NPI:
1609822907
Suite 220
(301) 262-9872
Fax:
(301) 262-2730
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Rastogi, Mohit, MD
ID#:
129403
UPIN:
NPI:
1518958388
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Raya, Vikram, MD
ID#:
130112
UPIN:
NPI:
1972787497
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Razi, Babak, MD
ID#:
125138
UPIN:
H51343
NPI:
1942345970
Suite 100
(301) 779-1949
Fax:
(301) 699-1703
INTERNAL MEDICINE
NEPHROLOGY
ACTIVE
Redfearn, Joan, MD
ID#:
112565
UPIN:
C57390
NPI:
1215013255
6196 Oxon Hill Road
Suite 610
(301) 839-5804
Fax:
(301) 839-6882
OB/GYN
ASSOCIATE
Rehbehn, Eric P, CRNA
ID#:
887737
UPIN:
S90262
NPI:
1063491827
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Reiser, Maya E, MD
ID#:
124651
UPIN:
D91749
NPI:
1710923057
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Reyes, Villamor, MD
ID#:
110866
UPIN:
D86043
NPI:
1295812824
9811 Mallard Drive, #205
(301) 953-1020
Fax:
(301) 953-7918
FAMILY MEDICINE
August 22, 2012
Page 60 of 79
ALLIED HEALTH
ASSOCIATE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Reynolds, Melanie N., CRNP
ID#:
883773
UPIN:
NPI:
1396053906
9200 Basil Court
Suite 200
(301) 883-0866
Fax:
(301) 883-0925
INTERNAL MEDICINE
GENERAL MEDICINE
ALLIED HEALTH
Riordan, Janet, CNM
ID#:
887232
UPIN:
NPI:
1730273027
3001 Hospital Drive
(301) 618-2355
Fax:
(301) 618-2873
OB/GYN
AFFILIATE
Rizvi, Syma H., PA-C
ID#:
884684
UPIN:
C0003654
NPI:
1992989164
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Roach, Chad, MD
ID#:
130583
UPIN:
NPI:
1821256082
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Robertson, Jessica L., PA-C
ID#:
883850
UPIN:
NPI:
1013288364
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Vascular
ASSOCIATE
Robertson-Sanchez, Karen A, CRNA
ID#:
885327
3001 Hospital Drive
UPIN:
Q20803
Cheverly, MD 20785NPI:
1265476287
Phone:
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
ALLIED HEALTH
Robinson, Felipe, MD
ID#:
113829
UPIN:
C89111
NPI:
1811923345
6196 Oxon Hill Road
Suite 200
(301) 567-2900
Fax:
(301) 567-8325
INTERNAL MEDICINE
CARDIOLOGY
REFER & REVIEW
Robinson, Walesia L., MD
ID#:
130716
UPIN:
NPI:
1437281078
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
August 22, 2012
Page 61 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Rodgers, Lauren R, MD
ID#:
116806
UPIN:
G06924
NPI:
1073502548
6196 Oxon Hill Road
Suite 630
(301) 839-7900
Fax:
OB/GYN
ACTIVE
Rollins, Deborah, MD
ID#:
115261
UPIN:
F17682
NPI:
1275655938
Suite 115
(301) 441-1138
Fax:
(301) 441-4655
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Rosenthal, Joanna B., MD
ID#:
130286
UPIN:
NPI:
1740317411
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Ruckman, Roger N, MD
ID#:
120626
UPIN:
B93090
NPI:
1780778126
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Rudick, Jonathan, MD
ID#:
123075
UPIN:
H32545
NPI:
1124083704
Suite B
Phone:
(301) 345-0605
Fax:
(301) 345-0606
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Rush, John J, MD
ID#:
128918
UPIN:
E57631
NPI:
1851337281
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Russell, Imelda Tividad, CRNP
ID#:
885863
UPIN:
P32281
NPI:
1528163540
(410) 997-1336
Fax:
(410) 997-1636
PGHC Int Med / Infectious Disease
ALLIED HEALTH
Rustagi, Ravinder, MD
ID#:
109330
UPIN:
B94757
NPI:
1063486090
6132 Landover Rd
(301) 386-2666
Fax:
(301) 386-2085
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
August 22, 2012
Page 62 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Ryb, Gabriel E, MD
ID#:
125716
UPIN:
G38177
NPI:
1356398366
Trauma Office
3001 Hospital Drive
(301) 618-2160
Fax:
(301) 618-3364
SURGERY
TRAUMATOLOGY
ASSOCIATE
Sable, Craig A, MD
ID#:
120568
UPIN:
G12329
NPI:
1154415511
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Sadeghi, Kaveh, MD
ID#:
129668
UPIN:
NPI:
1073832044
12150 Annapolis Rd.
Suite 308
(301) 805-0006
Fax:
(301) 805-5757
FAMILY MEDICINE
Sadr, Allison D, CNM
ID#:
886879
UPIN:
P52678
NPI:
1477602159
3001 Hospital Drive
(301) 618-2244
Fax:
(301) 618-2847
OB/GYN
Sahni, Rakesh, MD
ID#:
112300
UPIN:
D73842
NPI:
1912920380
Suite 1100
(301) 441-3050
Fax:
(301) 441-1148
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Sailor, Janet L, MD
ID#:
128645
UPIN:
NPI:
1285770388
Image On Call LLC
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
Salem, Catherine L., MD
ID#:
126391
UPIN:
A16600
NPI:
1578563383
Shady Grove Adventist
Radiation Therapy Center
40 W. Gude Street, #120
(301) 309-6765
Fax:
(301) 309-8491
INTERNAL MEDICINE
RADIATION ONCOLOGY
ASSOCIATE
Salih, Ibrahim, MD
ID#:
116095
UPIN:
F73130
NPI:
1043374929
Suite 200
(301) 817-3001
Fax:
(301) 817-3005
FAMILY MEDICINE
August 22, 2012
Page 63 of 79
ASSOCIATE
AFFILIATE
ASSOCIATE
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Saltiel, Armando A, MD
ID#:
128322
UPIN:
E62215
NPI:
1689763278
Image On Call LLC
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
Sank, Keri J, PA-C
ID#:
885087
UPIN:
00
NPI:
1003971680
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Sapp, Andre, PA-C
ID#:
884254
UPIN:
NPI:
1518102953
7300 Van Dusen Rd
(301) 497-7954
Fax:
(301) 497-8741
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Sarfarazi, Mohammad, MD
ID#:
119750
UPIN:
C75539
NPI:
1326103227
Suite T6
(301) 345-4465
Fax:
(866) 834-5513
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Sattar, Arifa R., PA-C
ID#:
883843
UPIN:
NPI:
1871862748
6130 Landover Rd
(301) 322-7737
Fax:
(301) 386-2794
INTERNAL MEDICINE
PULMONARY
ALLIED HEALTH
Sattarian, Mehdi, MD
ID#:
127092
UPIN:
00
NPI:
1639233810
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
ACTIVE
Satuyi, Annette B, MD
ID#:
129387
UPIN:
NPI:
1881678043
1300 Caraway Court
Suite 106
(301) 322-9500
Fax:
(301) 322-2227
PEDIATRICS
Scartascini, Penny L., PA-C
ID#:
889840
UPIN:
Q08015
NPI:
1366594269
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
August 22, 2012
Page 64 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Scartascini, Ricardo, MD
ID#:
103341
UPIN:
B93407
NPI:
1962493775
Suites A & B
(301) 982-0657
Fax:
(301) 982-5325
OB/GYN
Gynecology Only
SENIOR MERITORIOUS
Schaefer, Paul S, MD
ID#:
124644
UPIN:
E44375
NPI:
1194751198
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Schechner, Adam J, MD
ID#:
127969
UPIN:
NPI:
1780876011
5602-B Shields Drive
(301) 493-4826
Fax:
(301) 493-4828
SURGERY
GENERAL SURGERY
ASSOCIATE
Scheller, Joseph M, MD
ID#:
129494
UPIN:
A93337
NPI:
1528068939
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
NEUROLOGY
ASSOCIATE
Schneider, Judith, PA-C
ID#:
885947
UPIN:
S11583
NPI:
1215968615
(301) 809-2024
Fax:
(301) 464-3572
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Schuelein, Marianne, MD
ID#:
121376
UPIN:
C88746
NPI:
1215915467
3301 New Mexico Avenue, N.W.
Suite 208
(202) 506-7041
Fax:
(202) 506-7141
PEDIATRICS
NEUROLOGY
ASSOCIATE
Schwartz, Michael, MD
ID#:
106898
UPIN:
D09537
NPI:
1003976846
7500 Hanover Pkwy
Suite 204
(301) 345-7878
Fax:
(301) 345-4375
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Schwob, Catherine R, CNM
ID#:
887729
UPIN:
R96144
NPI:
1861570731
3001 Hospital Drive
(301) 618-2244
Fax:
(301) 618-2247
OB/GYN
August 22, 2012
Page 65 of 79
ASSOCIATE
AFFILIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Scott-Bey, Ebony M., PA-C
ID#:
884619
UPIN:
NPI:
1598935132
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Scroggins, Carlton, MD
ID#:
112490
UPIN:
F06040
NPI:
1801951017
7525 Greenway Ctr Dr
Suite 113
(301) 220-0400
Fax:
(301) 220-1719
SURGERY
PLASTIC
ASSOCIATE
Selya, Leonid, MD
ID#:
121145
UPIN:
G79457
NPI:
1386639755
Suite 300
(301) 599-9500
Fax:
(301) 599-5389
ORTHOPEDICS
Sethi, Harminder S., MD
ID#:
120766
UPIN:
H06792
NPI:
1275563033
1160 Varnum Street, NE
Suite 302
(202) 636-9090
Fax:
(202) 636-9088
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ASSOCIATE
Shah, Gita, MD
ID#:
107565
UPIN:
C62530
NPI:
1548257769
7350 Van Dusen Road
Suite 220
(301) 604-8000
Fax:
(301) 604-4406
INTERNAL MEDICINE
INFECTIOUS DISEASE
SENIOR MERITORIOUS
Shah, Mushtaq, MD
ID#:
107995
UPIN:
C88824
NPI:
1043396633
7227-A Hanover Pkwy
(301) 220-0606
Fax:
(301) 513-9049
INTERNAL MEDICINE
GI
ASSOCIATE
Shaigany, Asghar, MD
ID#:
107979
UPIN:
B94178
NPI:
1336135979
5632 Annapolis Road
Suite 12
(301) 864-3888
Fax:
(301) 699-3007
INTERNAL MEDICINE
GI
ACTIVE
Shapiro, Barry P., MD
ID#:
127704
UPIN:
C88424
NPI:
1033151048
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
August 22, 2012
Page 66 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Sheikhzadeh, Nessa, PA-C
ID#:
883868
UPIN:
NPI:
1629253182
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Shetty, Rajendra, MD
ID#:
123547
UPIN:
H58934
NPI:
1588768741
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Shirani, Ziba, MD
ID#:
128652
UPIN:
NPI:
1639337991
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Shombert, Lawrence P., MD
ID#:
122952
UPIN:
E65227
NPI:
1679555452
100 E. Carroll St.
Dept. of Radiology/Oncology
Salisbury, MD 21801Phone:
(410) 543-7000
Fax:
(410) 912-5698
INTERNAL MEDICINE
RADIATION ONCOLOGY
ASSOCIATE
Shpak, Oleg, MD
ID#:
111526
UPIN:
B95143
NPI:
1376546069
9470 Annapolis Road
Suite 210
Lanham, MD 20706
Phone:
(301) 577-5511
Fax:
(301) 577-1177
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Sidhu, Gurmeet, MD
ID#:
110460
UPIN:
C88511
NPI:
1821088204
3001 Hospital Drive
(301) 618-3340
Fax:
(301) 618-3964
MEDICAL IMAGING
Sidhu, Rajinder, MD
ID#:
106096
UPIN:
C62199
NPI:
1801955810
8717 Greenbelt Rd.
Suite 203
(301) 277-3331
Fax:
(301) 277-3341
SURGERY
NEUROSURGERY
REFER & REVIEW
Sidhu, Sukhjit S, MD
ID#:
122390
UPIN:
F99814
NPI:
1124028394
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
ACTIVE
August 22, 2012
Page 67 of 79
ACTIVE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Siewert, Lisa K. M., PA-C
ID#:
889295
UPIN:
Q07618
NPI:
1467540815
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Silvonek, Ann, CNM
ID#:
889519
UPIN:
S41707
NPI:
1497790729
3001 Hospital Drive
(301) 618-2244
Fax:
(301) 618-2847
OB/GYN
Simmons, Julian T., MD
ID#:
122101
UPIN:
D77917
NPI:
1538105838
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Simms, Warren P, PA-C
ID#:
883975
UPIN:
NPI:
1336180421
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ALLIED HEALTH
Singh, Alka, MD
ID#:
124719
UPIN:
H21539
NPI:
1225064744
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Singh, Dpinder, MD
ID#:
115618
UPIN:
F84456
NPI:
1659488617
Suite 124
(301) 262-7555
Fax:
(301) 805-5914
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Singh, Gurinder, MD
ID#:
114835
UPIN:
E71662
NPI:
1861433104
Suite B430
(301) 262-8602
Fax:
(301) 805-7784
INTERNAL MEDICINE
GI
ACTIVE
Singh, Jagdeep, MD
ID#:
128926
UPIN:
NPI:
1437195682
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
August 22, 2012
Page 68 of 79
AFFILIATE
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Singh, Ravinder, MD
ID#:
121657
UPIN:
C62729
NPI:
1508962929
Laurel Regional Hospital; Pathology Dept
7300 Van Dusen Road
Laurel, MD 20707
Phone:
(301) 497-7930
Fax:
(301) 362-2065
INTERNAL MEDICINE
NUCLEAR MEDICINE
ASSOCIATE
Singh, Surinder, MD
ID#:
110122
UPIN:
C88935
NPI:
1093893356
7319 A Hanover Pkwy
(301) 441-2394
Fax:
(301) 441-2607
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Singh, Virender, MD
ID#:
106815
UPIN:
C61895
NPI:
1639148943
7209 A Hanover Parkway
(301) 441-2001
Fax:
(301) 441-2982
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Sklar, Barry, DDS
ID#:
107086
UPIN:
D74728
NPI:
1457369522
6188 Oxon Hill Rd
Suite 401
Oxon Hill, MD 20745
Phone:
(301) 839-9200
Fax:
(301) 839-9200
SURGERY
DENTISTRY
REFER & REVIEW
Slack, Michael C., MD
ID#:
121756
UPIN:
F83329
NPI:
1588758940
Phone:
(202) 476-2020
Fax:
(202) 476-5700
PEDIATRICS
CARDIOLOGY
ASSOCIATE
Smith, Abraham J, PA-C
ID#:
884759
UPIN:
00
NPI:
1043285257
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Vascular
ALLIED HEALTH
Smith, Richard S, PA-C
ID#:
889501
UPIN:
S05614
NPI:
1568531473
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Orthopedics
ALLIED HEALTH
Smith, Warren J, MD
ID#:
124131
UPIN:
D84653
NPI:
1831165000
3502 W. Rogers Avenue
Suite 6
(410) 542-9009
Fax:
(410) 362-3437
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
August 22, 2012
Page 69 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Smith-Marshall, Janine N., MD
ID#:
130120
UPIN:
H49710
NPI:
1164406112
6915 Laurel Bowie Road, Ste. 102
(301) 464-7935
Fax:
(301) 464-3742
SURGERY
OPHTHALMOLOG
ASSOCIATE
Snyder, Joseph, MD
ID#:
114413
UPIN:
C88197
NPI:
1548253289
8630 Fenton Street
Suite 608
(301) 585-4931
Fax:
(301) 588-4784
SURGERY
OPHTHALMOLOG
ACTIVE
Snyder, Lee A, MD
ID#:
126581
UPIN:
H96033
NPI:
1760441190
23 Crossroads Dr, Suite 310
Brull and Honig, M.D., and Associates
Owings Mills, MD 21117Phone:
(410) 581-1500
Fax:
(410) 581-0577
SURGERY
OPHTHALMOLOG
ASSOCIATE
Snyder, Matthew L, MD
ID#:
123182
UPIN:
F69169
NPI:
1720018682
4901 Telsa Drive
Suite A
(301) 805-6860
Fax:
(301) 805-0755
INTERNAL MEDICINE
RADIATION ONCOLOGY
ASSOCIATE
Solomon, Jonathan, MD
ID#:
125633
UPIN:
I06530
NPI:
1497744205
Suburban Eye Associaates
7500 Hanover Pkwy, #101-B
(301) 982-4565
Fax:
(301) 982-4252
SURGERY
OPHTHALMOLOG
ASSOCIATE
Solomon, Sarah A., DO
ID#:
130468
UPIN:
NPI:
1235381104
1000 Bower Hill Road
Pittsburgh, PA 15307Phone:
(412) 942-3344
Fax:
ANESTHESIA
Sotoudeh, Faranak, MD
ID#:
106047
UPIN:
B94039
NPI:
1942203930
Suite 209
(301) 474-0400
Fax:
(301) 474-2686
INTERNAL MEDICINE
ENDOCRINOLOGY
SENIOR MERITORIOUS
Sparaco, Monica J., PA-C
ID#:
884197
UPIN:
NPI:
1730416710
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
August 22, 2012
Page 70 of 79
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Spencer, Richard G, MD
ID#:
128843
UPIN:
NPI:
1962536706
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
ASSOCIATE
St. Surin-Lord, Sharleen, MD
ID#:
130138
UPIN:
NPI:
1023288156
P.O. Box 7224
(202) 321-2458
Fax:
INTERNAL MEDICINE
DERMATOLOGY
ASSOCIATE
Stahl, Kathryn M., MD
ID#:
130591
UPIN:
NPI:
1326250747
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Steinberg, Bryan M, MD
ID#:
125336
UPIN:
G70912
NPI:
1154346906
10215 Fernwood Rd.
Suite 303
(301) 270-2844
Fax:
(301) 270-4484
SURGERY
CARDIAC SURGERY
ACTIVE
Steinberg, Louis, MD
ID#:
105494
UPIN:
D05995
NPI:
1245235258
6492 Landover Road
Suite D
(301) 341-4667
Fax:
(301) 773-8442
INTERNAL MEDICINE
PULMONARY
SENIOR MERITORIOUS
Steiner, Edward, MD
ID#:
130229
UPIN:
B74729
NPI:
1275569212
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Straughn, Clayton W., MD
ID#:
121483
UPIN:
G00821
NPI:
1992875488
4404 Queensbury Rd.
Suite 130
(240) 260-0230
Fax:
(240) 260-0219
FAMILY MEDICINE
Strauss, Joseph E., DO
ID#:
129999
UPIN:
NPI:
1003895111
22 S. Greene Street
(410) 328-1868
Fax:
(410) 328-2893
ORTHOPEDICS
August 22, 2012
Page 71 of 79
ASSOCIATE
REFER & REVIEW
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Subbarao, Kuchibhotla, MD
ID#:
127191
UPIN:
E87204
NPI:
1801830120
7207 Hanover Parkway, #B
(202) 877-0698
Fax:
(410) 674-8836
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Sudhakar, Kempanna, MD
ID#:
108464
UPIN:
B94795
NPI:
1427022888
7610 Carroll Ave
Suite 230
Takoma Park, MD 20912Phone:
(301) 891-2303
Fax:
(301) 891-2487
INTERNAL MEDICINE
GI
ASSOCIATE
Sufi, Ajay S, MD
ID#:
124867
UPIN:
H90020
NPI:
1861420861
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Sugastti, Oscar F, MD
ID#:
129718
UPIN:
I67070
NPI:
1255330759
3 Bethesda Metro
Suite 630
(301) 652-2707
Fax:
(301) 907-4570
PEDIATRICS
ASSOCIATE
Suri, Atul H, MD
ID#:
126086
UPIN:
H07441
NPI:
1326042144
#930
(301) 345-2412
Fax:
(301) 345-3978
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Swee, Martha T., MD
ID#:
130476
UPIN:
NPI:
1366548034
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
Tangeda, Arti O, CRNA
ID#:
885210
UPIN:
Q22239
NPI:
1518942838
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Tax, Thomas, PA-C
ID#:
889493
UPIN:
R22889
NPI:
1336176478
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
PGHC Orthopedics
ALLIED HEALTH
August 22, 2012
Page 72 of 79
ASSOCIATE
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Taylor, Gregory G, CRNA
ID#:
886952
UPIN:
S69056
NPI:
1497793269
14314 Turner Wootton Pkwy.
Upper Marlboro, MD 20774Phone:
(301) 538-5352
Fax:
(301) 249-4787
ANESTHESIA
Tee, Steven T, MD
ID#:
117796
UPIN:
F49939
NPI:
1811980584
3415 Hamilton St.
#1
(301) 699-5167
Fax:
(301) 699-3151
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Teferra, Ethiopia, MD
ID#:
126680
UPIN:
G54111
NPI:
1275587461
Image On Call LLC
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
Tegene, Teshome Z, MD
ID#:
126524
UPIN:
I22310
NPI:
1811965676
(301) 618-3774
Fax:
(301) 618-3298
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Telesford, Danielle A., PA-C
ID#:
884320
UPIN:
Q72876
NPI:
1730296401
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
ALLIED HEALTH
Thiagarajah, Christopher K., MD
ID#:
130294
UPIN:
I72153
NPI:
1952435919
Washington Eye Institute
5711 Sarvis Avenue
Suite 402
(301) 277-4844
Fax:
(301) 927-3221
SURGERY
OPHTHALMOLOG
ASSOCIATE
Tobin, Erica Dee, MD
ID#:
119552
UPIN:
G88342
NPI:
1780730242
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Tourky, Mohamed M, MD
ID#:
128439
UPIN:
NPI:
1497916670
(301) 362-2042
Fax:
(240) 568-2933
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
August 22, 2012
Page 73 of 79
ALLIED HEALTH
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Townsend, Rosalee P., CRNP
ID#:
883819
UPIN:
NPI:
1598033367
3001 Hospital Drive
Fax:
INTERNAL MEDICINE
GENERAL MEDICINE
ALLIED HEALTH
Tran, Kevin, MD
ID#:
130146
UPIN:
NPI:
1790945798
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Tuli, Raman, MD
ID#:
104596
UPIN:
D09570
NPI:
1689612236
10810 Darnestown Road
Suite 202
Gaithersburg, MD 20878Phone:
(301) 424-1780
Fax:
(301) 424-7148
FAMILY MEDICINE
Tyson-Hope, Jacquelyn, CRNA
ID#:
889485
UPIN:
S02418
NPI:
1083633754
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Udapi, Padmaja, MD
ID#:
110304
UPIN:
B69814
NPI:
1184699381
7350 Van Dusen Road
Suite 380
(301) 776-6514
Fax:
(301) 776-6592
INTERNAL MEDICINE
INFECTIOUS DISEASE
ASSOCIATE
Udapi, Shrinivas, MD
ID#:
107730
UPIN:
B94200
NPI:
1962593582
7350 Van Dusen Road
Suite 380
(301) 776-6514
Fax:
(301) 776-6592
INTERNAL MEDICINE
PULMONARY
SENIOR MERITORIOUS
Vandermeer, Peter A, MD
ID#:
130237
UPIN:
I49821
NPI:
1427084151
(301) 438-5150
Fax:
(301) 460-0199
MEDICAL IMAGING
Vanson, David T, MD
ID#:
129395
UPIN:
I27415
NPI:
1750354973
Image On Call LLC
(888) 647-5979
Fax:
(888) 847-0818
MEDICAL IMAGING
August 22, 2012
Page 74 of 79
ASSOCIATE
ASSOCIATE
ALLIED HEALTH
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Vega, Louisette E., MD
ID#:
130609
UPIN:
NPI:
1881639243
7300 Van Dusen Road
(301) 497-7954
Fax:
(301) 362-2087
EMERGENCY MEDICINE
TEMPORARY
Venkatraman, Chitra, MD
ID#:
11602-0
UPIN:
E99593
NPI:
1558354860
7300 Hanover Drive
Suite 301
(301) 345-1800
Fax:
(301) 345-3854
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ACTIVE
Verma, Divya, MD
ID#:
118331
UPIN:
G49742
NPI:
1194800037
Suite 202
(301) 345-1100
Fax:
(301) 345-6443
INTERNAL MEDICINE
INFECTIOUS DISEASE
ACTIVE
Verma, Kamana, MD
ID#:
127654
UPIN:
NPI:
1295871085
3001 Hospital Drive
(301) 618-3866
Fax:
(301) 772-3166
PEDIATRICS
ASSOCIATE
Villacorta-Lyew, Rachel, MD
ID#:
130617
UPIN:
NPI:
1700936283
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
TEMPORARY
Vohra, Kirti, MD
ID#:
117705
UPIN:
F42017
NPI:
1942293840
7710 Bradley Blvd.
(301) 706-7235
Fax:
INTERNAL MEDICINE
GENERAL MEDICINE
REFER & REVIEW
Waldrop, Danielle R, MD
ID#:
129619
UPIN:
NPI:
1164682126
Suite 305
(301) 669-1870
Fax:
OB/GYN
ASSOCIATE
Wang, Justin H., PA-C
ID#:
884221
UPIN:
NPI:
1700019643
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
ALLIED HEALTH
August 22, 2012
Page 75 of 79
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Wang, Quan, MD
ID#:
130484
UPIN:
H13997
NPI:
1043475676
#930
(301) 345-2412
Fax:
(301) 345-3978
INTERNAL MEDICINE
NEPHROLOGY
ASSOCIATE
Wang, Xiaoyan, MD
ID#:
130245
UPIN:
NPI:
1912110255
7300 Hanover Drive
Suite 301
(301) 345-1800
Fax:
(301) 345-3854
INTERNAL MEDICINE
HEMATOLOGY-ONCOLOGY
ASSOCIATE
Warren, Ward R., MD
ID#:
130625
UPIN:
NPI:
1104099936
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
TEMPORARY
Watson, Zandra M, DDS
ID#:
122275
UPIN:
00
NPI:
1730233867
3701 Donnell Drive #102
Forestville, MD 20747
Phone:
(301) 735-3520
Fax:
(301) 735-6166
SURGERY
DENTISTRY
REFER & REVIEW
Webber, Jan D, MD
ID#:
115667
UPIN:
G26782
NPI:
1891775870
8116 Good Luck Road
Suite 305
(301) 552-1200
Fax:
(301) 552-1202
INTERNAL MEDICINE
CARDIOLOGY
ASSOCIATE
Webber, Stephen D, MD
ID#:
115717
UPIN:
F65988
NPI:
1942295167
Suite 300
(301) 599-9500
Fax:
(301) 599-5389
ORTHOPEDICS
Weeks, Jande, CRNA
ID#:
883761
UPIN:
NPI:
1558636969
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Weiner, Charles, MD
ID#:
121889
UPIN:
D77926
NPI:
1144256140
Advanced Radiology
7253 Ambassador Rd
Baltimore, MD 21244
Phone:
(443) 436-1100
Fax:
(443) 436-1512
MEDICAL IMAGING
August 22, 2012
Page 76 of 79
ASSOCIATE
ALLIED HEALTH
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Weisman, Perry R, MD
ID#:
127753
UPIN:
H62778
NPI:
1518932268
(301) 809-2024
Fax:
(301) 464-3572
EMERGENCY MEDICINE
ASSOCIATE
Werner, Stephan L, MD
ID#:
102210
UPIN:
D09435
NPI:
1356380919
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
SENIOR MERITORIOUS
Westerband, Dany, MD
ID#:
116087
UPIN:
F80116
NPI:
1912067216
11119 Rockville Pike
Suite G-100
(301) 984-3700
Fax:
(301) 984-3701
SURGERY
GENERAL SURGERY
ASSOCIATE
Willis, Arnold J, MD
ID#:
108258
UPIN:
C62171
NPI:
1275525545
8th Floor
(301) 477-2000
Fax:
(301) 474-2389
SURGERY
UROLOGY
ASSOCIATE
Wolde-Semait, Henock, MD
ID#:
130039
UPIN:
NPI:
1376791277
22 S. Greene Street
(410) 328-1868
Fax:
(410) 328-2893
ORTHOPEDICS
Wooten, Nikia S, DO
ID#:
128744
UPIN:
NPI:
1851336168
(301) 809-2024
Fax:
(301) 809-2045
EMERGENCY MEDICINE
BHC Emergency
ASSOCIATE
Wossen, Wondu, MD
ID#:
124115
UPIN:
D41251
NPI:
1164474391
Laurel Pines Professional Building
14333 Laurel-Bowie Rd.
Suite 206
(301) 362-0506
Fax:
(301) 362-6711
PEDIATRICS
Xie, Weiyu, PA-C
ID#:
183835
UPIN:
NPI:
1376868190
Infectious Disease Care Center
(410) 997-1336
Fax:
(410) 997-1636
INTERNAL MEDICINE
INFECTIOUS DISEASE
ALLIED HEALTH
August 22, 2012
Page 77 of 79
ASSOCIATE
ASSOCIATE
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Yadla, Hema, MD
ID#:
107029
UPIN:
B94464
NPI:
1679633234
(301) 618-3772
Fax:
(301) 618-2986
INTERNAL MEDICINE
GENERAL MEDICINE
SENIOR MERITORIOUS
Yadla, Nirmala, MD
ID#:
125096
UPIN:
H95728
NPI:
1437266624
Suite B
Phone:
(301) 345-0605
Fax:
(301) 345-0606
INTERNAL MEDICINE
NEPHROLOGY
ACTIVE
Yadla, Ratna, MD
ID#:
112854
UPIN:
B94915
NPI:
1700988755
Suite B
Phone:
(301) 345-0605
Fax:
(301) 345-0606
INTERNAL MEDICINE
NEPHROLOGY
ACTIVE
Yang, Emma U, MD
ID#:
115444
UPIN:
00 - ped
NPI:
1275698573
7411 Riggs Road
Suite 428
(301) 408-0350
Fax:
(301) 408-0354
PEDIATRICS
Yibas, Markos, MD
ID#:
121178
UPIN:
00 - ped
NPI:
1467490094
7313 B Hanover Parkway
(301) 220-3021
Fax:
(301) 982-7875
PEDIATRICS
Young, Daniel A., CRNA
ID#:
883876
UPIN:
NPI:
1538465257
3001 Hospital Drive
(301) 618-6100
Fax:
(301) 618-2892
ANESTHESIA
Yu, William D, MD
ID#:
126813
UPIN:
G93028
NPI:
1386651552
1019 Brightseat Road
(301) 350-6009
Fax:
(301) 350-6119
INTERNAL MEDICINE
NEPHROLOGY
REFER & REVIEW
Yusuf, Muhammad, MD
ID#:
108860
UPIN:
B93112
NPI:
1356358246
13631 Baltimore Avenue
(301) 498-2500
Fax:
(301) 490-5769
INTERNAL MEDICINE
CARDIOLOGY
SENIOR MERITORIOUS
August 22, 2012
Page 78 of 79
REFER & REVIEW
ASSOCIATE
ALLIED HEALTH
NAME/STATUS
ADDRESS/PHONE
DEPARTMENT/DIVISION
Zaim, Bulent, MD
ID#:
116939
UPIN:
F08418
NPI:
1518902212
1204 West Street
Annapolis, MD 21401Phone:
(410) 263-0799
Fax:
(410) 263-4021
INTERNAL MEDICINE
CARDIOLOGY
ACTIVE
Zaiter, Pedro J., MD
ID#:
130641
UPIN:
G17902
NPI:
1215918404
3001 Hospital Drive
(301) 618-3338
Fax:
(301) 618-6410
EMERGENCY MEDICINE
PGHC Emergency
TEMPORARY
Zama, Ivan N, MD
ID#:
129114
UPIN:
NPI:
1912177288
10902 Bucknell Drive #713
Wheaton, MD 20902Phone:
(301) 552-7007
Fax:
(240) 821-5455
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Zamer, Jillian L, PA-C
ID#:
883934
UPIN:
NPI:
1831473669
3001 Hospital Drive
(301) 618-3779
Fax:
(301) 618-2865
ALLIED HEALTH
Zellars, Melinda R, DPM
ID#:
127449
UPIN:
V86449
NPI:
1588665418
8816 Jericho City Drive
(301) 808-0341
Fax:
(301) 350-1398
SURGERY
PODIATRY
REFER & REVIEW
Zelleke, Tesfaye, MD
ID#:
129569
UPIN:
NPI:
1568608404
111 Michigan Avenue, N.W.
Suite 800, Dept. of Neurology
(202) 476-2120
Fax:
(202) 476-5700
PEDIATRICS
NEUROLOGY
ASSOCIATE
Zenebe, Anteneh W, MD
ID#:
129155
UPIN:
NPI:
1992962179
3001 Hospital Drive
(301) 618-6699
Fax:
(301) 618-6698
INTERNAL MEDICINE
GENERAL MEDICINE
ASSOCIATE
Zumo, Lawrence, MD
ID#:
123141
UPIN:
H41022
NPI:
1093882680
1111 Spring Street
Suite 210
(301) 562-8400
Fax:
(301) 562-8492
INTERNAL MEDICINE
NEUROLOGY
ACTIVE
August 22, 2012
Page 79 of 79

Crystal Reports - jbPGphotorost_cnv.rpt

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