Anil Uberoi MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0026748 Issued in MD

Legal business name

ANIL UBEROI MD, PA

Practice address

4419 Falls Rd
Suite a
Baltimore, MD 21211-1226

Phone

(410) 366-1101

Fax

(410) 366-0897

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bernina W Grady

Title

Practice Manager

Phone

(410) 366-1101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1457667107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 NEAR THICKET LN",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530667",
            "telephone_number": "410-366-1101",
            "fax_number": "410-366-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 FALLS RD",
            "address_2": "SUITE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111226",
            "telephone_number": "410-366-1101",
            "fax_number": "410-366-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL UBEROI MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "BERNINA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-366-1101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0026748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271621600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.