Individual
LOLITA NIDADAVOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224
(410) 550-0925
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D86907
MD
Other
Enumeration date
05/13/2015
Last updated
02/03/2020
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