Prada, Gary C.
Prada, Gary C. is an individual health care provider with primary practice located at 11055 Little Patuxent Pkwy Suite 104, Columbia MD 21044-2896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prada, Gary C. can be contacted via phone (410) 740-2900.Contact Information
Primary practice address
11055 Little Patuxent Pkwy Suite 104
Columbia MD 21044-2896
Phone: (410) 740-2900
Fax: (410) 740-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0022587 | Maryland |
Profile Details
| NPI number | 1154313062 |
|---|---|
| LBN Legal business name | Prada, Gary C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jan 24th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154313062 | NPPES |
| Maryland | Other | 1342957 | CIGNA PIN |
| Maryland | Other | 243371 | CIGNA PIN |
| Maryland | MEDICAID | 443211800 | CIGNA PIN |
| Maryland | Other | 3509-0005 | CIGNA PIN |
| Maryland | Other | 4238655 | CIGNA PIN |
| Maryland | Other | 024210 | CIGNA PIN |
| Maryland | Other | 0477640 | CIGNA PIN |
| Maryland | Other | 843371 | CIGNA PIN |
| Maryland | Other | 110140826 | CIGNA PIN |
| Maryland | Other | 524039-01 | CIGNA PIN |
| Maryland | Other | P12723 | CIGNA PIN |
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