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Individual

DR. HIMA TADIMETI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5568
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D82049
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-667-959-1
ECFMG
05
014663037
DC
05
112689000
MD
Enumeration date
11/03/2006
Last updated
07/31/2026
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