Individual
DR. PAULA A DECANDIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251
Mailing address
2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0038821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10690021
BCBS
MD
01
—
2622593
AETNA HMO/POS
MD
01
—
300060330
TRAVELERS RR MEDICARE
MD
05
—
588231100
—
MD
01
—
731C
AAD SHIPLEYS
MD
01
—
8317071
AETNA PPO
MD
01
—
A04
AAD PG COUNTY
MD
01
—
HN79
AAD AA COUNTY
MD
Enumeration date
08/11/2005
Last updated
11/13/2007
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