Individual
DR. MICHAEL PORTER RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 UPPER CHESAPEAKE DRIVE, SUITE 206, BEL AIR, MD 21014
(410) 879-9100
(410) 879-0227
Mailing address
520 UPPER CHESAPEAKE DRIVE, SUITE 206, BEL AIR, MD 21014
(410) 879-9100
(410) 879-0227
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0063913
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409514600
—
MD
01
—
64833001
CAREFIRST
MD
01
—
E5130012
CAREFIRST BLUE CHOICE
DC
Enumeration date
10/03/2006
Last updated
03/25/2015
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