Organization Active NPI

Sang C. Doh, M.D.,P.a.

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1659671501
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D19512 Issued in MD
Legal business name
SANG C. DOH, M.D.,P.A.
Practice address
1600 Crain Hwy S
Suite 206
Glen Burnie, MD 21061-5577
Phone
(410) 760-6623
Fax
(410) 760-6624
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. Sang C. Doh, M. D.
Title
President
Phone
(410) 760-6623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D19512 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Suite 206
Glen Burnie, MD 21061-5577

Mailing address

1600 Crain Hwy S
Suite 206
Glen Burnie, MD 21061-5577
Phone (410) 760-6623

Other identifiers 1

IdentifierTypeStateIssuer
252331100MedicaidMD

National Provider Directory

National Provider Directory

Locations

1600 Crain Hwy S
Ste 504
Glen Burnie, MD 21061
Phone (410) 760-6623

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1659671501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 206",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-760-6623",
            "fax_number": "410-760-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 206",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-760-6623",
            "fax_number": "410-760-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG C. DOH, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "DOH",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-760-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D19512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252331100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.