Active NPI
Maitri Medical Practice, PC
- Health Service Clinic/Center
- Greenbelt, MD
National Provider Identifier
1558423459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- D53411
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.