Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supriya Jagannath MD LLC

Organization Anesthesiology Physician · NPI 1053635284

Supriya Jagannath MD LLC is an Anesthesiology Physician in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9657 Atterbury Ln
Frederick, MD 21704-7400
Phone: (410) 476-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence D0064112 (MD)

Record details

NPI number1053635284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Supriya Jagannath — Owner · (410) 476-7511
NPI enumeratedMarch 17, 2010
Last updated in NPPESMarch 17, 2010
Mailing address9657 Atterbury Ln, Frederick, MD 21704-7400

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