Manjula Kataram, MD
Individual provider Active NPI Internal Medicine Physician · Middletown, MD
NPI 1104067347 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1104067347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D0068344 (MD)
- Practice address
- 300 S Church St
Middletown, MD 21769-8043 - Phone
- (301) 371-9000
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068344 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Middletown Valley Family Medicine, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25632/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0068344 | MD | Yes |
Addresses
Primary practice location
300 S Church St
Middletown, MD 21769-8043
Mailing address
300 S Church St
PO Box 20
Middletown, MD 21769-8043
Phone (301) 371-9000
Other providers in Middletown, MD
- Kevin Edward Hohl
- Home Life Care LLC
- Jan Hummer
- Selina M Jones
- Andrea D Kaleta
- Danielle Joy Kerr
- Sarah Kin
- Daniel Kovacic
- Bridget N Krautwurst
- Eva Regina Lucht
All providers in Middletown, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.