Provider Demographics
NPI:1184690141
Name:TANSINDA, JAMES N (INTERNAL MEDICINE,MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:TANSINDA
Suffix:
Gender:M
Credentials:INTERNAL MEDICINE,MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1305
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21041-1305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3455 WILKEN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229
Practice Address - Country:US
Practice Address - Phone:410-800-2948
Practice Address - Fax:410-800-2956
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056948207R00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3054957OtherAETNA HEALTH
MD110306OtherPRIORITY PARNTES
MD10071280OtherAMERIGROUP
MD2106670OtherMAMSI
MD459401100Medicaid
MDKBJ2TAOtherMD BLUESHIELD
MD04-05905OtherUNITEDHEALTHCARE
MDKBJ2TAOtherMD BLUESHIELD
MD110306OtherPRIORITY PARNTES
MD2106670OtherMAMSI