Individual
AVA PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, FLOOR 2, SOUTH, BALTIMORE, MD 21201-4606
(443) 682-6800
(443) 552-2991
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D74506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332136300
—
MD
01
—
S062-0486
CAREFIRST BC/BS
MD
Enumeration date
05/11/2008
Last updated
01/05/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us