Individual
KATHERINE IKARD STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF GYNECOLOGY AND OBSTETRICS, 600 NORTH WOLFE STREET, PHIPPS 279, BALTIMORE, MD 21287-0001
(410) 955-6710
Mailing address
1200 S CONKLING ST APT 345, BALTIMORE, MD 21224-5323
(443) 695-8458
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R3761
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398438701
—
TX
01
—
398438702
MEDICAID-CSHCN
TX
01
—
8LB581
BCBS
TX
Enumeration date
04/20/2011
Last updated
07/29/2019
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