Organization Active NPI

Maitri Medical Practice, PC

  • Health Service Clinic/Center
  • Greenbelt, MD
National Provider Identifier
1558423459
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
D53411 Issued in MD
Legal business name
MAITRI MEDICAL PRACTICE, PC
Practice address
7207 Hanover Pkwy Ste B
Greenbelt, MD 20770-2015
Phone
(410) 531-5787
NPI assigned
Dec 15, 2006
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Jagdish Shesadri, M.D
Title
President
Phone
(301) 518-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X D53411 MD Primary

Addresses

Primary practice location

7207 Hanover Pkwy Ste B
Greenbelt, MD 20770-2015

Mailing address

PO Box 98
Clarksville, MD 21029-0098
Phone (410) 531-5787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1558423459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210290098",
            "telephone_number": "410-531-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702015",
            "telephone_number": "410-531-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SHESADRI",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-518-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "D53411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.