Organization Active NPI

Mahindranauth Deonarine MD PC

  • Psychiatry Physician
  • Lanham, MD
National Provider Identifier
1497935548
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0054926 Issued in MD
Legal business name
MAHINDRANAUTH DEONARINE MD PC
Practice address
9470 Annapolis Rd
Suit 308
Lanham, MD 20706-3025
Phone
(301) 459-6655
Fax
(301) 459-6695
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Mahindranauth Deonarine, MD PCNPI 1841253127
Title
Physician
Phone
(301) 459-6655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D0054926 MD Primary

Addresses

Primary practice location

9470 Annapolis Rd
Suit 308
Lanham, MD 20706-3025

Mailing address

9470 Annapolis Rd
Suit 308
Lanham, MD 20706-3025
Phone (301) 459-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000381 DC Part B Supplier - Clinic/Group Practice 2163460213 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD; Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

9470 Annapolis Rd
Ste 308
Lanham, MD 20706
Phone (301) 459-6655

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1497935548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "SUIT 308",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-459-6655",
            "fax_number": "301-459-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "SUIT 308",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-459-6655",
            "fax_number": "301-459-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHINDRANAUTH DEONARINE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "DEONARINE",
        "authorized_official_first_name": "MAHINDRANAUTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-459-6655",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0054926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.