DR. GURDEEP SINGH AHLUWALIA (NPI# 1083818058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083818058 |
| Entity Type | Individual |
| Full Name | DR. GURDEEP SINGH AHLUWALIA |
| Credential | M.D. |
| Practice Address |
122 Defense Hwy Ste 222 Annapolis MD 21401 |
| Mailing Address |
122 Defense Hwy Ste 222 Annapolis MD 21401-7071 |
| Practice Telephone | 4437160420 |
| Practice Fax Number | 4437160419 |
| Mailing Telephone | 4437160420 |
| Mailing Fax Number | 4437160419 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D66042 | MD | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01080581 | IN | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
D66042 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE PROVIDER # | P00404659 | 01 |
| MD | 014011200 | 05 | |
| MD | R/R MEDICARE GROUP # | CC1923 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5051 Greenspring Avenue, Michel Mirowski, Md, Off. Bldg, Baltimore, MD 21209 | 4106019515 | 4106018905 |
| Street Address |
122 DEFENSE HWY STE 222 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703220 | Metropolitan Neurological Associates, LLC | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401-7071 | 2017-11-08 |
| 1457877128 | Damanhuri D Alkaitis | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401-7071 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703220 | Metropolitan Neurological Associates, LLC | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401-7071 | 2017-11-08 |
| 1457877128 | Damanhuri D Alkaitis | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401-7071 | 2017-08-15 |
| 1548558703 | Minas W Gebru | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2011-07-21 |
| 1699063925 | Shariff Sa'id Dunlap | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2011-07-20 |
| 1639465883 | Karl John Maki | Psychiatry & Neurology | 122 Defense Hwy, Suite 210, Annapolis, MD 21401-7069 | 2011-06-27 |
| 1467767806 | Anne Arundel Physician Group, LLC | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3263 | 2010-08-10 |
| 1497988836 | Neurological Medicine, P.a. | Psychiatry & Neurology | 180 Admiral Cochrane Dr, Suite 260, Annapolis, MD 21401-7300 | 2009-09-02 |
| 1801053574 | Morgan Johnson Harris | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2008-05-20 |
| 1467619601 | Arash Farhadi | Psychiatry & Neurology | 2002 Medical Parkway, Suite 430, Annapolis, MD 21401-3263 | 2008-05-16 |
| 1861686420 | Daniel Hexter Md Pa | Psychiatry & Neurology | 122 Defense Hwy, 210, Annapolis, MD 21401-7069 | 2007-08-28 |
| Find all providers in ANNAPOLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.