Individual
DR. SEEMA ALIASGAR GADIWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 140, FULTON, MD 20759-2689
(410) 874-1400
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101-055942
VA
207R00000X
Internal Medicine Physician
Primary
D67529
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5805015
—
VA
Enumeration date
10/13/2006
Last updated
10/04/2022
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