Provider Demographics
NPI:1790565869
Name:SAI PSYCHIATRY SERVICES
Entity Type:Organization
Organization Name:SAI PSYCHIATRY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANJOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-377-1836
Mailing Address - Street 1:13214 EDDINGTON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1943
Mailing Address - Country:US
Mailing Address - Phone:301-377-1836
Mailing Address - Fax:
Practice Address - Street 1:2 HAMILL RD STE 272N
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1806
Practice Address - Country:US
Practice Address - Phone:301-377-1836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty