Occupational Health & Addiction Services of Howard County

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

D40076 Issued in MD

Legal business name

OCCUPATIONAL HEALTH & ADDICTION SERVICES OF HOWARD COUNTY

Practice address

4807 Benson Ave
Ste # 101
Halethorpe, MD 21227-1530

Phone

(443) 524-2737

Fax

(443) 524-2742

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Devesh Dhruva Kanjarpane, MD MPH FACPM

Title

President

Phone

(301) 675-1296

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1720479728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 WINTER GRAIN PATH",
            "address_2": "STE # 1H",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291224",
            "telephone_number": "301-675-1296",
            "fax_number": "443-535-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 BENSON AVE",
            "address_2": "STE # 101",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271530",
            "telephone_number": "443-524-2737",
            "fax_number": "443-524-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL HEALTH & ADDICTION SERVICES OF HOWARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "KANJARPANE",
        "authorized_official_first_name": "DEVESH",
        "authorized_official_middle_name": "DHRUVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-675-1296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH FACPM"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D40076",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MD",
            "license": "D40076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.