Individual
DR. DAVID L SHEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3811 CANTERBURY RD, BALTIMORE, MD 21218-2340
(443) 604-4383
(410) 889-3616
Mailing address
3811 TABOR RD, OWINGS MILLS, MD 21117-1245
(443) 604-4383
(410) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0043692
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182441400
—
MD
01
—
260036595
R/R MEDICARE PROVIDER #
MD
01
—
CC3779
R/R MEDICARE GROUP #
MD
Enumeration date
06/06/2006
Last updated
06/24/2022
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