Dr . Suba Vinayakom MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D25882 Issued in MD

Legal business name

DR . SUBA VINAYAKOM MD LLC

Practice address

19517 Doctors Dr
Germantown, MD 20874-5247

Phone

(301) 353-8700

Fax

(301) 353-0394

NPI assigned

Jul 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suba Vinayakom, MD

Title

Physicin

Phone

(301) 353-8700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1164786265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19517 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745247",
            "telephone_number": "301-353-8700",
            "fax_number": "301-353-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19517 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745247",
            "telephone_number": "301-353-8700",
            "fax_number": "301-353-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR . SUBA VINAYAKOM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "VINAYAKOM",
        "authorized_official_first_name": "SUBA",
        "authorized_official_title_or_position": "PHYSICIN",
        "authorized_official_telephone_number": "301-353-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D25882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Robert Donovan, P.T.
• Negheen Natasha Dorost
• Nicole Rae Dorshorst, DPT
• Lauren Grace Dovin
• Emmanuel Dowuona, PHARM.D.
• Dakota Dugue, RBT
• Obiageli Duru Anoumatacky, CRNP
• Ayanha Aquilla Dyson, MSW
• Eleanor Dzodzomenyo, CRNP, FNP-BC
• Senam Dzodzomenyo

• Obstetrics & Gynecology Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.