Individual
DR. ELIOT LAWRENCE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
PO BOX 1267, INDIANAPOLIS, IN 46206-1267
(433) 331-1894
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
D0030836
MD
2085R0202X
Diagnostic Radiology Physician
Primary
D0030836
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010640893
—
DC
05
—
408011400
—
MD
Enumeration date
04/03/2006
Last updated
08/07/2025
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