Sufi, Ajay S
Sufi, Ajay S is an individual health care provider with primary practice located at 18111 Prince Philip Dr T-20, Olney MD 20832-1513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sufi, Ajay S can be contacted via phone (301) 774-3400.Contact Information
Primary practice address
18111 Prince Philip Dr T-20
Olney MD 20832-1513
Phone: (301) 774-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0059293 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0059293 | Maryland |
Profile Details
| NPI number | 1861420861 |
|---|---|
| LBN Legal business name | Sufi, Ajay S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 20th, 2013 - about 13 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 | 1861420861 | NPPES |
| Maryland | MEDICAID | 401414600 | |
| Maryland | MEDICAID | 010073588 | |
| Maryland | MEDICAID | 034685300 | |
| Maryland | MEDICAID | 010073596 | |
| Maryland | MEDICAID | 010247501 | |
| Maryland | MEDICAID | 010073618 | |
| Maryland | MEDICAID | 010073669 |
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