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Individual

DR. MIRIAM MIMI YUDKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2003 MEDICAL PKWY, SUITE 250, ANNAPOLIS, MD 21401-7992
(410) 224-2228
(410) 266-7778
Mailing address
2003 MEDICAL PKWY, SUITE 250, ANNAPOLIS, MD 21401-7992
(410) 224-2228
(410) 266-7778

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D21546
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11670001
BLUE SHIELD, FEDERAL
MD
01
1212266
UNITED HEALTH CARE
MD
01
225050
MAMSI/ALLIANCE
MD
01
42306701
BLUE SHIELD, MARYLAND
MD
Enumeration date
07/20/2006
Last updated
07/21/2022
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