Provider Demographics
NPI:1104291673
Name:SECURE MEDICAL NETWORKS, LLC
Entity type:Organization
Organization Name:SECURE MEDICAL NETWORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-207-9278
Mailing Address - Street 1:2542 QUARRY LAKE DR
Mailing Address - Street 2:173
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3759
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2542 QUARRY LAKE DR
Practice Address - Street 2:173
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3759
Practice Address - Country:US
Practice Address - Phone:410-385-3336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty