P4 Pathology P C

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

P4 PATHOLOGY P C

Practice address

8000 Virginia Manor Rd Ste 170
Beltsville, MD 20705-4230

Phone

(301) 715-3805

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sathish Kothandaram

Title

President & C E O

Phone

(702) 727-6466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1902325301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 VIRGINIA MANOR RD STE 170",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207054230",
            "telephone_number": "301-715-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 VIRGINIA MANOR RD STE 170",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207054230",
            "telephone_number": "301-715-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Plantation St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052300",
            "country_code": "US",
            "telephone_number": "866-357-0051",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 S I 19 Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856145884",
            "country_code": "US",
            "telephone_number": "866-357-0051",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 Tw Alexander Dr Rm 243250",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277090150",
            "country_code": "US",
            "telephone_number": "866-357-0051",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "985 Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309011286",
            "country_code": "US",
            "telephone_number": "844-563-0239",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10128 W Broad St Ste H",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606761",
            "country_code": "US",
            "telephone_number": "866-357-0051",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Technology Dr Unit 2",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117334063",
            "country_code": "US",
            "telephone_number": "855-420-8242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 Hooper Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087532200",
            "country_code": "US",
            "telephone_number": "301-715-3805",
            "fax_number": "301-259-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P4 PATHOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "PRESIDENT & C E O",
        "authorized_official_telephone_number": "702-727-6466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Beltsville, MD by specialty
• Anatomic Pathology & Clinical Pathology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.