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

Individual provider Internal Medicine Physician · NPI 1295910404

Ajay Bhasker Rao Gangalam, MD is a Nephrology in Catonsville, Maryland. Qualified in 2001, 25 years ago. Practices with Mid-Atlantic Nephrology Associates PA, a 58-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
25
Licensed in
MD
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

516 N Rolling Rd Ste 304
Catonsville, MD 21228-4133
Phone: (410) 744-0890
Fax: (410) 744-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0069296 (MD)

Record details

NPI number1295910404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 7, 2008
Last updated in NPPESSeptember 27, 2022
Certification dateJune 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mid-Atlantic Nephrology Associates Pa — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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