Active NPI
Panchadcharam Gnaneswaran, M.D.
- Obstetrics & Gynecology Physician
- Elkton, MD
National Provider Identifier
1164593083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M37596
- Practice address
- 204 South St
Elkton, MD 21921-5633 - Phone
- (410) 392-8000
- Fax
- (410) 392-5990
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M37596 | MD | Primary |
Addresses
Primary practice location
204 South St
Elkton, MD 21921-5633
Mailing address
P O Box 3012
Wilmington, DE 19804
Phone (302) 224-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52827004 | Other | MD | MD BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M37596 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panchadcharam Gnaneswaran MD PA | Obstetrics & Gynecology | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Elkton, MD
- NPI 1851462782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164593083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19804",
"telephone_number": "302-224-5678",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 SOUTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215633",
"telephone_number": "410-392-8000",
"fax_number": "410-392-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNANESWARAN",
"first_name": "PANCHADCHARAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "M37596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD BLUE CROSS",
"identifier": "52827004",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.