Provider Demographics
NPI:1447361225
Name:AJAY SONOGRAM,INC
Entity type:Organization
Organization Name:AJAY SONOGRAM,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CARDIO-VASCULAR SONOGRAPHER
Authorized Official - Prefix:MR
Authorized Official - First Name:NITIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHATIM
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS,RCS,RVS
Authorized Official - Phone:301-332-9349
Mailing Address - Street 1:12410 POPLAR VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3303
Mailing Address - Country:US
Mailing Address - Phone:301-332-9349
Mailing Address - Fax:301-666-1092
Practice Address - Street 1:12410 POPLAR VIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3303
Practice Address - Country:US
Practice Address - Phone:301-332-9349
Practice Address - Fax:301-666-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD93263291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory