NPIMap

Organization Active NPI

Panchadcharam Gnaneswaran MD PA

  • Obstetrics & Gynecology Physician
  • Elkton, MD
National Provider Identifier
1851462782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PANCHADCHARAM GNANESWARAN MD PA
Practice address
204 South St
Elkton, MD 21921-5633
Phone
(410) 392-8000
Fax
(410) 392-5990
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Panchadcharam Gnaneswaran, M.D.NPI 1164593083
Title
Owner
Phone
(410) 392-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

204 South St
Elkton, MD 21921-5633

Mailing address

PO Box 3012
Wilmington, DE 19804-0012
Phone (302) 224-5678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851462782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040012",
            "telephone_number": "302-224-5678",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215633",
            "telephone_number": "410-392-8000",
            "fax_number": "410-392-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCHADCHARAM GNANESWARAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GNANESWARAN",
        "authorized_official_first_name": "PANCHADCHARAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-392-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.