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Individual

HAVISHA GADEPALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N WOLFE STREET, BALTIMORE, MD 21264-5009
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0104163
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0104163
MD

Other

Enumeration date
03/24/2021
Last updated
03/19/2026
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