Jessica Kajdas

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gaithersburg, MD

NPI 1003368085 · NPPES record last updated Oct 26, 2016

Key facts

NPI
1003368085
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
610 E Diamond Ave
Suite E
Gaithersburg, MD 20877-5321
Phone
(301) 330-4359
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Health System, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD Yes

Addresses

Primary practice location

610 E Diamond Ave
Suite E
Gaithersburg, MD 20877-5321

Mailing address

610 E Diamond Ave
Suite E
Gaithersburg, MD 20877-5321

Other providers in Gaithersburg, MD

All providers in Gaithersburg, MD · Student in an Organized Health Care Education/Training Program in Maryland

Sources for this page

Verify at the official NPI Registry.