Provider Demographics
NPI:1184691586
Name:BELLARY, SOMASHEKHAR VEERAPPA (MD)
Entity type:Individual
Prefix:DR
First Name:SOMASHEKHAR
Middle Name:VEERAPPA
Last Name:BELLARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:921 SETON DR
Mailing Address - Street 2:SUITE 2H
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 2H
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047507207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD528QMedicare ID - Type Unspecified