Shubhinder Puri, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0062504 Issued in MD

Practice address

100 Hospital Rd
Prince Frederick, MD 20678

Phone

(410) 535-8295

Fax

(410) 414-4788

NPI assigned

Jul 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Anesthesia Associates of Southern Connecticut, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Norwalk, CT
  • NPI 1770572141
  NPD (past)
• Connecticut Anesthesia of Fairfield LLC

  • Anesthesiology Physician
  • Fairfield, CT
  • NPI 1356380646
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811913288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630898",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212630898",
            "telephone_number": "800-426-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-8295",
            "fax_number": "410-414-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "SHUBHINDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0062504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Chesapeake LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Jessica Lynn Pucci, CRNP
• Kayla Purcell
• Kerry I Puttlitz, CCC-SLP
• Kathryn Denise Quinn, AA, CAC-AD
• Fahad Ur Rahman, DPM
• Tara Lynn Randol
• Susan Marie Ray, RN

• Anesthesiology Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.