Individual
DR. EVA JEANEAL DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
122 DEFENSE HWY, CHESAPEAKE MEDICAL IMAGING, ANNAPOLIS, MD 21401-7069
(410) 571-0350
(410) 571-9348
Mailing address
122 DEFENSE HWY, CHESAPEAKE MEDICAL IMAGING, ANNAPOLIS, MD 21401-7069
(410) 571-0350
(410) 571-0350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0056558
MD
2085R0202X
Diagnostic Radiology Physician
MD21048
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00455075
MEDICARE RAILROAD CARRIER
MD
Enumeration date
12/07/2005
Last updated
11/02/2012
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