Organization Active NPI

Prasad M Nataraj MD PC

  • Allergy & Immunology Physician
  • Bel Air, MD
National Provider Identifier
1447414438
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0046941 Issued in MD
Legal business name
PRASAD M NATARAJ MD PC
Practice address
208 Plumtree Road
B
Bel Air, MD 21015
Phone
(410) 638-1999
Fax
(410) 638-6355
NPI assigned
Jul 18, 2008
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Prasad M Nataraj, MDPCNPI 1437222874
Title
MD
Phone
(410) 638-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X D0046941 MD Primary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X D0046941 MD

Addresses

Primary practice location

208 Plumtree Road
B
Bel Air, MD 21015

Mailing address

208 Plumtree Road
B
Bel-Air, MD 21015
Phone (410) 638-1999

Other identifiers 1

IdentifierTypeStateIssuer
235991000MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1447414438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PLUMTREE ROAD",
            "address_2": "B",
            "city": "BEL-AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "410-638-1999",
            "fax_number": "410-638-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PLUMTREE ROAD",
            "address_2": "B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "410-638-1999",
            "fax_number": "410-638-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD M NATARAJ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "NATARAJ",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-638-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDPC"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0046941",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MD",
            "license": "D0046941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235991000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.