Individual
DR. MIYA OKADA PATERNITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-2301
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 955-9446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D69806
MD
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D69806
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048956500
—
MD
01
—
T1625
MIYA
MD
Enumeration date
01/30/2007
Last updated
12/03/2016
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