Skanumuru, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

D0064539 Issued in MD

Legal business name

SKANUMURU, LLC

Practice address

1406 Crain Hwy S
Suite 108
Glen Burnie, MD 21061-4058

Phone

(410) 760-0098

Fax

(410) 761-9131

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Srilatha Kanumuru, M.D.

Title

Owner

Phone

(410) 719-0020

Specialties & licenses 1

Addresses

Practitioners 2

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

• Shahab Zare Bavani, M.D.

  • Internal Medicine Physician
  • Laurel, MD
  • NPI 1326061672
  NPD (past)
• Mythily Vancha, MD

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1548292022
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1952540635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 AMBROSIA DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436862",
            "telephone_number": "410-336-0124",
            "fax_number": "410-744-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S",
            "address_2": "SUITE 108",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614058",
            "telephone_number": "410-760-0098",
            "fax_number": "410-761-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKANUMURU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "KANUMURU",
        "authorized_official_first_name": "SRILATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-719-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "D0064539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savita Singal, MD
• Iqbal Singh, M.D.
• Ben A Sircus, DDS
• Lori Sisk
• Karen Siska, RN
• Emma Skoglund
• Manuel Skow, P.A.
• Kelly Anne Slear, PHARMD
• Sleep Disorders CTRS of the Mid Atlantic LLC (Sdcma)
• Sleep Services of America, Inc

• Community Health Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.