SD Cardiology Associates LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0069545 Issued in MD

Legal business name

SD CARDIOLOGY ASSOCIATES LLC

Practice address

716 Maiden Choice LN Ste 202
Catonsville, MD 21228-5952

Phone

(571) 426-1057

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Sirisha Donekal, MD

Title

MD; Owner

Phone

(571) 426-1057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1972091585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 AMBER MEADOW VIS",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434893",
            "telephone_number": "571-426-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN STE 202",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285952",
            "telephone_number": "571-426-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD CARDIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "DONEKAL",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "MD; OWNER",
        "authorized_official_telephone_number": "571-426-1057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0069545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.