Individual
DR. DELIA DEPAOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101043237
VA
2085R0202X
Diagnostic Radiology Physician
Primary
D0045085
MD
2085R0202X
Diagnostic Radiology Physician
MD039373
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143431400
—
MD
01
—
60234801
BLUE SHIELD
MD
01
—
80430036
BLUE SHIELD
DC
Enumeration date
07/17/2006
Last updated
12/06/2012
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