Organization Name: | SHAILAJA M DIDOLKAR MD PA |
NPI Number: | 1629269402 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON D WHITTY (BILLING MANAGER) |
Mailing Address: | 54 Scott Adam Rd Suite 203 Cockeysville |
State: | MD US |
Postal Code: | 210303216 |
Phone Number: | 4106831440 |
Fax Number: | 4106831308 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 06/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D22106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |