Active NPI
Sargam Raja Mahat, PHARMD
- Pharmacist
- Centreville, MD
National Provider Identifier
1740647510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23779
- Practice address
- 2440 Centreville Rd
Centreville, MD 21617-2802 - Phone
- (443) 262-9640
- NPI assigned
- Jan 25, 2016
- Last updated
- Jan 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23779 | MD | Primary |
Addresses
Primary practice location
2440 Centreville Rd
Centreville, MD 21617-2802
Mailing address
515 Walker Ave
Baltimore, MD 21212-2624
Phone (410) 916-0383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23779 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1740647510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 WALKER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122624",
"telephone_number": "410-916-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 CENTREVILLE RD",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216172802",
"telephone_number": "443-262-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAT",
"first_name": "SARGAM",
"middle_name": "RAJA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, MD
- Lower Shore Clinic, Inc. (Corsica River Mental Health Services)
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC (Centreville Family Medicine)
- Karen Moncure Maize
- Margaret Decker Malaro, M.D.
- Whitney Paige Mangum, LGSW
- Eric Matthew Maniago, MD
- Fereidon Wolfgang Manssuri, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.