Active NPI
Inder S Gujral, MD
- General Practice Physician
- Columbia, MD
National Provider Identifier
1396093068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35.045890
- Practice address
- 8795 Endless Ocean Way
Columbia, MD 21045-5938 - Phone
- (410) 290-1112
- NPI assigned
- Aug 28, 2012
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35.045890 | OH | Primary |
Addresses
Primary practice location
8795 Endless Ocean Way
Columbia, MD 21045-5938
Mailing address
8795 Endless Ocean Way
Columbia, MD 21045-5938
Phone (410) 290-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0452620 | Medicaid | OH |
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 |
|---|---|---|---|
| 35.045890 | OH | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1396093068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8795 ENDLESS OCEAN WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455938",
"telephone_number": "410-290-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8795 ENDLESS OCEAN WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455938",
"telephone_number": "410-290-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUJRAL",
"first_name": "INDER",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.045890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0452620",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.