Organization Active NPI

Tony P. Kannarkat. MD. PA

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1376877308
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0020062 Issued in MD
Legal business name
TONY P. KANNARKAT. MD. PA
Practice address
8201 16TH St
Suite 121 Blair House
Silver Spring, MD 20910-3240
Phone
(301) 587-5090
Fax
(301) 587-8045
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. Tony Pappachan Kannarkat, MD
Title
Physician/President
Phone
(301) 587-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0020062 MD Primary

Addresses

Primary practice location

8201 16TH St
Suite 121 Blair House
Silver Spring, MD 20910-3240

Mailing address

8201 16TH St
Suite 121 Blair House
Silver Spring, MD 20910-3240
Phone (301) 587-5090

National Provider Directory

National Provider Directory

Locations

8201 16th St
Ste 121
Silver Spring, MD 20910
Phone (301) 587-5090

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1376877308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 16TH ST",
            "address_2": "SUITE 121 BLAIR HOUSE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103240",
            "telephone_number": "301-587-5090",
            "fax_number": "301-587-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 16TH ST",
            "address_2": "SUITE 121 BLAIR HOUSE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103240",
            "telephone_number": "301-587-5090",
            "fax_number": "301-587-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY P. KANNARKAT. MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "KANNARKAT",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "PAPPACHAN",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "301-587-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0020062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.