Individual
HEATHER ROSE MEAD RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 N BROADWAY, BALTIMORE, MD 21205-1424
(443) 923-9182
(443) 923-9540
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
MD54831
TN
2084N0400X
Neurology Physician
MD54831
TN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
D95909
MD
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD54831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52659012
BCBS KC
—
Enumeration date
07/11/2010
Last updated
03/03/2023
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