Individual provider · NPI-1

Dr. Madhu Sreekanth Jasti, M.D

Psychiatry & Neurology, Neurology · Glen Burnie, MD

NPI number1114231545
StatusActive
Last updated in NPPESSep 26, 2023

Details

NPI
1114231545
Entity type
Individual (NPI-1)
Name
Dr. Madhu Sreekanth Jasti
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2010
Certification date
Sep 26, 2023
Last updated
Sep 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyD82700MDYes
2084N0400X Psychiatry & Neurology, NeurologyMD454433PA
2084N0600X D82700MD

Practice location

203 Hospital Dr Ste 200
Glen Burnie, MD 21061-6905

Phone 410-553-8160 · Fax 410-553-8159

Mailing address

920 Elkridge Landing Rd
Linthicum, MD 21090-2917

Phone 443-462-5010

Other practice locations

One Medical Center Blvd
Acp, Suite 533
Upland, PA 19013-3902

Phone 610-874-1184 · Fax 610-874-4258

200 Memorial Ave
Westminster, MD 21157-5726

Phone 410-848-3000

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