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Individual

DR. CHIADI E NDUMELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, CARNEGIE 568, BALTIMORE, MD 21287-0005
(410) 955-5708
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
(410) 502-0550

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227158
MA
207RC0000X
Cardiovascular Disease Physician
Primary
D72807
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048102500
MD
Enumeration date
05/03/2006
Last updated
02/13/2013
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