Individual
RAUL HIEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 EASTERN AVE FL EAST2, BALTIMORE, MD 21224-2734
(410) 550-5018
(410) 550-2972
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D91637
MD
207R00000X
Internal Medicine Physician
MT214834
PA
208M00000X
Hospitalist Physician
Primary
D91637
MD
Other
Enumeration date
07/05/2018
Last updated
07/15/2021
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