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Sachin K Gujar

Radiology

Allopathic & Osteopathic Physicians

600 N Wolfe St, Baltimore, MD 21287-0005

PECOS Enrollment

This provider is enrolled in PECOS as SACHIN GUJAR.

Based on the most recent information from CMS, provider Sachin K Gujar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1134200363
Provider Type
Individual
Full Name
Gujar, Sachin K
Credential
M.B.B.S.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/17/2006
Last Updated
2/7/2013

Contact Information

Practice Location

600 N Wolfe St, Baltimore, MD 21287-0005

(410) 955-2353

(410) 614-1213

Mailing Location

PO Box 64358, Baltimore, MD 21264-4358

(410) 955-6500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License D68263 Maryland
Code 2085N0700X	Description Radiology Allopathic & Osteopathic Physicians	License 4301078761 Michigan
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 4301078761 Michigan

Provider Identifiers

ID	Description	Issuer
ID 416082700	Description Medicaid	Issuer Unlisted Maryland
ID 4458940	Description Medicaid	Issuer Unlisted Michigan

Sachin K Gujar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Lee, Megan

Desai, Neal

Halsey, Neal

Kuo, George P

Umair, Muhammad

Werner, John

Siegelman, Stanley

Esterson, Yonah Baruch

Weiss, Clifford Raabe

Hawasli, Hazem