Shereen Khandagle Samuel, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H69508 Issued in MD

Practice address

8355 Cherry LN
Laurel, MD 20707-4829

Phone

(301) 725-4341

Fax

(301) 317-9070

NPI assigned

Jun 10, 2008

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shereen.samuelkhandagle@jrgmp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jhansi R Ganesan, MD PC

  • Pediatric Adolescent Medicine Physician
  • Laurel, MD
  • NPI 1386191419
  NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1649430075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074829",
            "telephone_number": "301-725-4341",
            "fax_number": "301-317-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074829",
            "telephone_number": "301-725-4341",
            "fax_number": "301-317-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "SHEREEN",
        "middle_name": "KHANDAGLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H69508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samer Saiedy MD PA (Maryland Vascular Specialists)
• Samirra Healthcare Agency LLC
• Mamta Sampemane, OTR
• Sams East Inc (Sams Pharmacy 10-6434)
• Eldorna Samuel, OTD
• Aaron San Nicolas
• Christina Robyn Sanborn
• Jacqueline Sanchez, L.AC.
• Maciel Alejandra Sanchez
• Tejal Mukesh Sanghvi, P.T.

• Pediatrics Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.