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NPI Code Detail

MEDICARE: DR. PARDEEP MASUTA M.D.

MEDICARE: DR. PARDEEP MASUTA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianD0090628MD
2207RP1001XPulmonary Disease PhysicianD0090628MD

General Provider Information

NPI Number : 1881077063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARDEEP MASUTA M.D.
Provider Business Mailing Address
First Line : 100 E CARROLL ST
Second Line :
City : SALISBURY
State : MD
Zip : 21801-5422
Country : US
Telephone Number : 410-543-7536
Fax Number : 315-464-3751
Provider Business Practice Location Address
First Line : 100 E CARROLL ST
Second Line :
City : SALISBURY
State : MD
Zip : 21801-5422
Country : US
Telephone Number : 410-543-7536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2015
Last Update Date : 05/13/2026

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