NPI 1851688931 · live from the CMS NPI Registry
Kiranmayi Adimoolam, M.D.
Family Medicine, Geriatric Medicine in Pasadena, MD. National Provider Identifier 1851688931, active.
NPI record
| NPI | 1851688931 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 3708 Mountain Rd, Pasadena, MD 21122 |
| Practice phone | 410-553-8273 |
| Mailing address | 900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090 |
| Enumerated | July 8, 2011 |
| Last updated | October 18, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | BP10040145 (TX) |
| Family Medicine, Geriatric Medicine primary | 207QG0300X | D87962 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.