Individual
DR. RUNA DIWADKAR WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, SUITE N5W70, BALTIMORE, MD 21201-1544
(410) 328-0812
(410) 328-7305
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
001934
GA
208000000X
Pediatrics Physician
Primary
D74504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365415000
—
MD
Enumeration date
08/12/2007
Last updated
02/21/2013
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