Provider Demographics
NPI:1710993472
Name:SOMASHEKHAR V BELLARY MD PA
Entity Type:Organization
Organization Name:SOMASHEKHAR V BELLARY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOMASHEKHAR
Authorized Official - Middle Name:V
Authorized Official - Last Name:BELLARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:3017-249-1000
Mailing Address - Street 1:921 SETON DR
Mailing Address - Street 2:SUITE 2-H
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1852
Mailing Address - Country:US
Mailing Address - Phone:301-724-9100
Mailing Address - Fax:301-724-0178
Practice Address - Street 1:921 SETON DR
Practice Address - Street 2:SUITE 2-H
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1852
Practice Address - Country:US
Practice Address - Phone:301-724-9100
Practice Address - Fax:301-724-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047507207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty