Individual
DR. NADIESDA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D74923
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139UH
BCBS NC
NC
05
—
332140100
—
MD
01
—
S062-0498
CAREFIRST
MD
Enumeration date
11/30/2005
Last updated
03/08/2013
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