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Contact Information

GASTRO CENTER OF MARYLAND LLC
7120 MINSTREL WAY
SUITE 100
COLUMBIA, MD21045-5248
 Phone: 410-290-6677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GASTRO CENTER OF MARYLAND LLC

NPI # 1164609111
LBN Legal business name GASTRO CENTER OF MARYLAND LLC
Authorized official RUDRA RAI - (OWNER/ PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2008
Last updated 11/24/2025 - About 6 months ago
Identifiers
MD License # D0044427
MD Medicaid 282701800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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