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Individual

DR. ELANA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
DR0055134
CO
2085R0202X
Diagnostic Radiology Physician
Primary
D0087860
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023662448
DC
05
873203501
MD
Enumeration date
05/13/2009
Last updated
12/18/2019
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