Individual
ENRIQUE IVAN OVIEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 S DUNDALK AVE STE 400, DUNDALK, MD 21222-4273
(410) 220-0780
(410) 862-0150
Mailing address
6705 EVANSTON RD, BALTIMORE, MD 21209-3865
(410) 220-0780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0068379
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445126100
—
MD
01
—
D0068379
STATE LICENSE
MD
Enumeration date
06/11/2007
Last updated
08/05/2021
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