Organization
UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A
Active
Other names
University of Maryland Diagnostic Imaging Specialists, P.A., University of Maryland Diagnostic Imaging Specialists PA
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S WHITE MD (VICE PRESIDENT)
(410) 328-3477
Entity
Organization
Contact information
Practice address
22 S GREENE ST, DEPARTMENT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
PO BOX 17383, BALTIMORE, MD 21297-1383
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972121500
—
MD
Enumeration date
07/29/2006
Last updated
09/21/2021
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