| NPI | 1336450253 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2010-06-25 |
| Last Updated | 2025-04-23 |
| Mailing Address | 3290 N Ridge Rd Ste 220 Ellicott City, MD 21043-3657 United States Phone: (410) 801-2273 | Fax: (410) 385-9319 📍 View Map |
| Primary Practice Address | 3290 N Ridge Rd Ste 220 Ellicott City, MD 21043-3657 United States Phone: (410) 801-2273 | Fax: (410) 385-9319 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2083B0002X – Preventive Medicine, Obesity Medicine | MD | 89993268 |
| Yes | 207R00000X – Internal Medicine | MD | D0074300 |
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About NPI 1336450253
Shannarose Guma M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336450253. The primary specialty listed is Internal Medicine. The provider is located in Ellicott City, MD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-06-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336450253?
NPI 1336450253 belongs to Shannarose Guma M.D., a Internal Medicine in Ellicott City, MD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336450253 active?
The current status of NPI 1336450253 in the NPPES registry is Active. The record was last updated on 2025-04-23.
What specialty is NPI 1336450253?
NPI 1336450253 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336450253?
You can verify NPI 1336450253 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336450253?
The primary practice address on file for NPI 1336450253 is 3290 N Ridge Rd Ste 220, Ellicott City, MD 21043-3657. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336450253 issued?
NPI 1336450253 was first issued (enumerated) on 2010-06-25. The NPPES record was last updated on 2025-04-23.
Practice Location Map
Shannarose Guma is located at 3290 N Ridge Rd Ste 220, Ellicott City, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Shannarose Guma. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336450253. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Preventive Medicine, Obesity Medicine | 89993268 | MD |
| Internal Medicine | D0074300 | MD |