Infectious Disease Asso of Southern MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

D45851 Issued in MD

Legal business name

INFECTIOUS DISEASE ASSO OF SOUTHERN MD

Practice address

9131 Piscataway Rd
Ste 620
Clinton, MD 20735

Phone

(301) 868-8044

Fax

(301) 856-2418

NPI assigned

Apr 4, 2006

Last updated

Aug 22, 2020By 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

Patrick J Haugh, MD

Title

Physician

Phone

(301) 868-8044

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Andrew J Siekanowicz, M.D.

  • Specialist
  • Silver Spring, MD
  • NPI 1316969025
  NPD (past)
• Manjula Dundoo, MD

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1982772604
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639131857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "STE 620",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-868-8044",
            "fax_number": "301-856-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "STE 620",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-868-8044",
            "fax_number": "301-856-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE ASSO OF SOUTHERN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUGH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-868-8044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D45851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hyde
• I Am Listening LLC (I Am Listening Wellness Center LLC)
• Okechukwu Anthony Ibeanu, M.D.
• Independent Psychiatric Services, LLC
• Independent Psychiatric Services, LLC
• Infinite Holistic Health LLC
• Inpak Healthcare LLC
• Inpak Medicals LLC
• Insideout Psychological Services, LLC
• Grace E Inyang, MD

• Infectious Disease Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Infectious Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.