Individual
DR. KARL DERIVAS HOLSCHUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, 2ND FLOOR DONNER PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-3300
(443) 481-3315
Mailing address
PO BOX 64501, BALTIMORE, MD 21264-4501
(410) 280-6549
(410) 280-6515
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D20731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
DC
01
—
110980
KAISER
MD
01
—
15123
JHHC
MD
01
—
1800584
AMERICHOICE
MD
05
—
265321400
—
MD
01
—
3166605
AETNA HMO
MD
01
—
4128365
AETNA PPO
MD
01
—
41526903
BCBS
MD
01
—
607156001
FEDERAL WORKMAN'S COMP
MD
01
—
61617
MAMSI
MD
01
—
67820
UNITED HEALTHCARE
MD
Enumeration date
07/14/2005
Last updated
05/12/2008
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